The configurable, nine-module system will transform how Kansas delivers healthcare solutions. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. Read more, Upgrade to Premium to view the number of applicants for this Job, Upgrade to Premium to start a conversation with Gainwell Technologies Llc. Gainwell Technologies LLC. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. , Pharmacy Web Portal training recording now available. San Francisco, CA. NAICS Code 52,524. Creates accurate mapping documents according to the mapping process. Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link We also have a variety of leadership and technical development academies to help build your skills and capabilities. Thank you very much for the help. Please enter a Name and Password so you can update your Job Alerts in the future. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. TTY: 711. As always excellent, professional, knowledgeable customer service. WebSummary. Here are the details on this position. SIC Code 63,632. Gainwell Technologies selected to bring new level of This experience takes the partnership to an entirely new level. 3 0 obj , Ohio SPBM Prescribers, When submitting a prior authorization (PA) request via fax or mail, the prescriber is required to use the prior authorization forms found on the, Welcome to Ohio Medicaid Pharmacy Services Online Portal. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Your role in our mission Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. WebWhat you should expect in this role. Working at Gainwell carries its rewards. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. About Gainwell Technologies LLCGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. The PNM Pre-Registration tool is available until Sept. 23 and will ease the transition and prevent disruptions to system access for providers ahead of go-live on Oct. 1. Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and Gainwell Technologies The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Once you have received your Submitter ID and Password from Mediciad, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission.Please have 25 test claims ready for testing. 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. October 18, 2022 09:30 ET The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Apply online instantly. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. Registration for SPBM Web Portal training is now open for all members. endobj Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. <> In 2019, the Ohio General Assembly instructed ODM to adopt a single PBM following release of a 2018 Health Data Solutions (HDS) report stating the PBMs were paid $224 million by Medicaid. As 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. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. WebMedicaid Services. 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. The ease of use and user-friendly environment is awesome. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Here are the details on this position.. I make phone calls a lot and I find few companies as engaged as yours. Thank you for your excellence! medicaid With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. 6+ years of associated work experience in a software development environment, Practical ability with Microsoft Office as well as SQL, Demonstrated ability to independently manage multiple responsibilities, prioritize tasks and meet deadlines, Excellent written and verbal communication, Ability to perform in lead Business Analyst role on projects, Position open to candidates residing in Arkansas, El Paso, TX or Puerto Rico. https://pnm-preregistration.omes.maximus.com, OH_MCD_PBM_Network@gainwelltechnologies.com, Myers and Stauffer (PPAC) - Ohio Medicaid Pharmacy, Chapter 5160-26 - Ohio Administrative Code | Ohio Laws, Single Pharmacy Benefit Manager (SPBM) Secure Web Portal Provider Registration FAQ is available, Provider Registration Manual is available, Provider Registration Process training video is available, Check provider enrollment application status, You can also call or visit your local county office for help with benefits at 1-844-640-OHIO (6446). You have already created a job alert with same filters. Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus, 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, Fully remote, only US location options will be considered. 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. Your session is about to expire. Medicaid Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. SeniorinCare <25 <$5M. Put your passion to work at Gainwell. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Verify solution meets the defined requirements through scenario testing. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Users may find helpful website links and documents within our online portal in the menu bar above. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. The Kansas Medicaid platform implementation sets the standard for states adopting modular Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. The auditor stated, we cannot be content to accept a black box in the delivery of public services. Ohio Medicaid and other state agencies had no means to audit potential steerage or conflicts of interest. Hope Private In-Home Care <25 <$5M. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Find the best jobs in the US, apply in 1 click and get a job today! WebSummaryAs a [ [Medicaid Senior Business Analyst ]] 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. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. 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. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. Here are the details on this position.. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 165,000 providers. ClaimShuttle - Mississippi Medicaid: Gainwell Technologies By Phone: 1-770-325-9590 1-877-261-8785 (toll free) Learn more atgainwelltechnologies.com. Attention All Providers: Nevada Medicaid Fiscal Agent If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare. Gainwell is the market leader in providing Medicaid services. Working at Gainwell carries its rewards. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Gainwell is offering several options available below for your assistance: Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Senior Business Analyst Medicaid Gainwell Technologies We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Data Mapping Lead - Gainwell Technologies LLC A pioneer in protecting the integrity of Medicaid programs through comprehensive TPL solutions and services, HMS has been awarded contracts for all five categories: Commercial Recoupment, Recovery, Hospital-Physician, MCO Come-Behind Billing and TPL Systems Module. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Ohio Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. You can also receive alerts via instant message. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. It was nice to have a direct contact with the same representative until the problem was resolved. Your customer support reps are the best!!! Share sensitive information only on official, secure websites. Media ContactLacey Hautzinger, Gainwell Technologies469.284.7240Lacey.hautzinger@gainwelltechnologies.com, Schae Kane, NASPO ValuePointskane@naspovaluepoint.org, The National Association of State Procurement Officials (NASPO), Lacey.hautzinger@gainwelltechnologies.com. Gainwell is the market leader in providing Medicaid services. An official website of the State of Georgia. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. TennCare is committed to safeguarding the information of our members. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. Medicaid Management - Gainwell Technologies Learn more about Gainwell at our. Mississippi Medicaid has created the following guide on how to enroll:Trading Partner Enrollment and Registration ProcessIf the link above does not work properly, please download the guide from here:medicaid.ms.gov/edi-technical-documents/If you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. ADL Caregivers <25 Build your career with Gainwell, an industry leader. Copyright 2023 Grabjobs Pte.Ltd. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. All Rights Reserved. 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 The single PBM is part of a larger overhaul of the Medicaid program designed to put the needs of Medicaid members first and bring visibility to the use of state dollars. Gainwell Technologies LLC. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. As a Test Engineer - Medicaid Testing at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs Previous Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. MMIS Replacement Project (MRP) - Mississippi Division of To access the recording, pleaseclick here. Joint Statement Regarding Privacy Breach Full-Time. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. Working at Gainwell carries its rewards. ODM received six competitive offers in response to the single PBM request for proposal. I just transmitted my first batch of electronic claims through Claim Shuttle! Members will have access to a training video on Oct. 1. endobj Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. The following process must be followed prior to initiation of electronic claim submission or inquiry. We offer clients scalable and flexible solutions for their most complex challenges. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Gainwell Technologies LLC Medicaid Data Analyst SME Job in Learn more atwww.naspovaluepoint.org. Here are the details on this position. $61,700 to $99,200 Yearly. For training registration instructions,click here.. Supports the ETL developers based on the mappings created. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. We are redesigning our programs and services to focus on you and your family. LA Dept of Health and Hospitals. SPBM Clinical staff can also be reached via phone and email. Your role in our mission Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. It provides services for 29 state Medicaid programs, processes more than 195 million pharmacy claims a year, and answers 6.6 million provider and recipient phone calls annually on behalf of state health care customers. Summary 5+ 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. We are working to process these as quickly as possible. We are proud to be an Equal Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Department of Medicaid logo, return to home page. Ohio Department of Medicaid awards fiscal intermediary contract All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. 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 The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). I always get the most fabulous service when calling or emailing!!! We also have a variety of leadership and technical development academies to help build your skills and capabilities. I have also been transferred to other staff, who helped me resolve issues in the most professional way. Document requirements for business and system requirements. 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. Gainwell Technologies LLC Associate Field Technician in San To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. The pay range for this position is $63,100.00 $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. ODM expects to award the POSV vendor by summer 2021. Gainwell Technologies