gainwell technologies medicaid

4 0 obj Working at Gainwell carries its rewards. New Extensions for Gainwell Technologies Provider Representatives 12/7/2020 PDF Version TO: All Providers RE: New Extensions for Gainwell Technologies Provider Representatives Effective Wednesday, December 9, 2020, Gainwell Technologies Provider Representatives may be reached by dialing 855-523-9170, then dialing a new 7 All Rights Reserved. Verify solution meets the defined requirements through scenario testing. Learn more about Gainwell at our and visit our for all available job role openings. On February 1, Ohio Medicaid launched the new electronic data interchange (EDI) and fiscal intermediary as part of our ongoing commitment to streamlining the provider administrative experience. , Pharmacy Web Portal training recording now available. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. The reps even keep records of calls from the past, to ensure continuance of care. ODM is building its next generation managed care program throughout 2021, including preparations to integrate and launch the strategic components of the program: the single PBM, POSV, fiscal intermediary, centralized credentialing, and the OhioRISE specialized managed care program for children with complex needs. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. WebAs a Senior Business Analyst Medicaid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vulnerable. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Ohio Medicaid is changing the way we do business. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Some of the key benefits to Kansas include: A Strategic PartnershipKansas is proud of what we have accomplished through our strategic partnership with Gainwell, said Kansas Medicaid Director Sarah Fertig. How can you stand out? Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Previous PrescriberWeb Portal training recording now available. It is made up of the directors of the central purchasing offices in each of the 50 states, the District of Columbia and the territories of the United States. x\o7n~ WebAs a Medicaid Data Analyst SME at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the We also have a variety of leadership and technical development academies to help build your skills and capabilities. Full-Time. WebSummary. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) Creates accurate mapping documents according to the mapping process. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Other companies could learn from you. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. You can also receive alerts via instant message. Coordinate workstreams and teams on IT projects to align solutions with client business priorities, Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results, Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications, Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements, Support quality control as you approve and validate test results to verify that all requirements have been met, Nine or more years of experience working as a business analyst or requirements translator between technical and non-technical personnel, with 3 or more years of Medicaid and Medicare experience preferred, Knowledge of Microsoft Excel advanced features such as macros and/or relational database software, Ability to clearly and concisely translate technical requirements to a non-technical audience, Skills working with business processes and re-engineering, Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members, A caring team leader who motivates and coaches less experienced resources, Opportunities to travel through your work (0-10%), Onsite, remote or Hybrid options may be available from US locations, The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. View similar Healthcare / Careworkers jobs below. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Learn more atgainwelltechnologies.com. San Francisco, CA. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and #LI- Medicaid Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. WebOnsite, remote or Hybrid options may be available from US locations. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Learn more about Gainwell at our. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. From members and providers to managed care organizations and state agencies, this transformative system empowers stakeholders to get vital services more quickly and efficiently to drive better health outcomes. Document requirements for business and system requirements. 3 0 obj Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Pharmacy Services. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Learn more about Gainwell at our and visit our for all available job role openings. Gainwell has already Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. As a result, health care providers are subject to meeting unique, time-consuming processes required by each MCO to prescribe important, sometimes life-sustaining medications. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Interface with the technical team to ensure designs are understood and properly implemented. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. An official website of the State of Georgia. Please enable Cookies and reload the page. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. . We offer clients scalable and flexible solutions for their most complex challenges. Department of Medicaid logo, return to home page. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic.

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