Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. I always get the most fabulous service when calling or emailing!!! The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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. P.L. 3 . TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Medicaid Third Party Liability (TPL) services and solutions to state Medicaid agencies through the National Association of State Procurement Officials (NASPO) ValuePoint TPL Services contract. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Click here to join our private community of job We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. Clipped from: https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. June 14, 2022 08:00 ET It was nice to have a direct contact with the same representative until the problem was resolved. Hope Private In-Home Care <25 <$5M. Learn more atwww.naspovaluepoint.org. The following process must be followed prior to initiation of electronic claim submission or inquiry. 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. 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 $224 million by Medicaid. Build your career with Gainwell, an industry leader. We can now process 276/277 requests (claim status). WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Learn more about Gainwell at our and visit our for all available job role openings. We offer clients scalable and flexible solutions for their most complex challenges. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell Technologies LLC Provider Previous Here are the details on this position. Read on if you are looking for information specific to our current programs. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? Validates test plan results that satisfy the detailed design goals. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service View similar Healthcare / Careworkers jobs below. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. stream CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. #LI- Medicaid. Gainwell has already contracted with more than 2600 pharmacies. This time it was warranted. Your product is everything you said it was. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! Since 2010, Gainwell has achieved 16 Centers for Medicare Learn more atwww.naspo.org. San Francisco, CA. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. HMS was selected as a supplier for ValuePoints TPL service offerings, allowing states to gain more efficiency and savings by choosing one sole provider to manage all their data and TPL service needs. Put your passion to work at Gainwell. I have also been transferred to other staff, who helped me resolve issues in the most professional way. 10:52B establish the New Jersey County Option 2 0 obj Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. $61,700 to $99,200 Yearly. Put your passion to work at Gainwell. Log in to the member secure portal to view your: Your guide to Medicaid and other information about your Medicaid benefits can be found in the Member section of the Medicaid Managed Care Plan websites., The Gainwell Notice of Privacy Practices is available. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. Build your career with Gainwell, an industry leader. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. In addition to HMS benchmark fees, our recoveries and savings for states and MCOs surpassed $1.5 billion in recoveries and an additional $2.5 billion in savings in 2021 providing clients with best-in-class ROI. As always excellent, professional, knowledgeable customer service. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Pharmacy Services. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. 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. ADL Caregivers <25 TYSONS CORNER, Va., Oct. 18, 2022 (GLOBE NEWSWIRE) -- Gainwell Technologies (Gainwell), a leading innovator in healthcare technology solutions, designed and implemented Kansas new and completely modular Medicaid platform. 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. Together, as one team, we collaborated on every aspect of this program. A detailed description of how to complete each of the enrollment steps and a list of information to have on hand before starting the enrollment application is available at: The Provider Network Management (PNM) module is going live in parallel with the Single Pharmacy Benefit Manager (SPBM) on Oct. 1. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Under % LA Medicaid Managed Care Organization. Supports the ETL developers based on the mappings created. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Gainwell Technologies LLC. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Reno, NV. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a, 401(k) employer match, comprehensive health benefits, We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services 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. Viewing this training is important for pharmacists and their support staff to learn about the many tools available on both the public facing and secure portal. 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 Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. The secure portal requires log in credentials. 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. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Working at Gainwell carries its rewards. SeniorinCare <25 <$5M. We are working to process these as quickly as possible. Gainwell Technologies LLC. The secure portal requires log in credentials. WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Posted: February 07, 2023. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. Medicaid requires two test batches be successfully submitted in order to receive production approval. I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important step forward in delivering a person-centric next generation managed care program to Ohio. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Claims and encounters? 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. Thank you for your excellence! 2023 Snagajob.com, Inc. All rights reserved. We offer clients scalable and flexible solutions for their most complex challenges. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. 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). Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the individuals and families we serve. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. If this is a transaction you would like to utilize please make sure to enroll with the payer. Excellent service and I never give anyone "Excellent" scores on surveys. Put your passion to work at Gainwell. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. 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. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled The newly designed program is targeted for launch in January 2022. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS.