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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. ODM received six competitive offers in response to the single PBM request for proposal. This time it was warranted. Put your passion to work at Gainwell. Welcome to New Jersey Medicaid Headlines 3 - NJMMIS We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Gainwell Technologies A gold mine!! Web1-770-325-2331 1-866-211-0950 (toll free) Providers, Trading Partners, or Provider Agents: Problems with registration or logging into the website should be directed to the Gainwell Technologies Company Georgia Medicaid EDI Services group. 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Apply online instantly. Medicaid Data Analyst SME - Gainwell Technologies Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. Trading Partner Enrollment and Registration Process, https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, JF Noridian Administrative Services: Alaska Medicare, JF Noridian Administrative Services: Arizona Medicare, JH Novitas Solutions, Inc: Arkansas Medicare, JE Noridian Administrative Services: California Medicare, Blue Shield of California (Anthem Central) via Availity, JH Novitas Solutions, Inc: Colorado Medicare, Colorado Blue Cross Blue Shield (Anthem Central) via Availity, Connecticut Blue Cross Blue Shield (Anthem Central) via Availity, JL Novitas Solutions, Inc: Delaware Medicare, Blue Cross Blue Shield of Washington D.C. (Carefirst) via Availity, Georgia Blue Cross Blue Shield (Anthem Central) via Availity, JE Noridian Administrative Services: Hawaii Medicare, JF Noridian Administrative Services: Idaho Medicare, Illinois Early Intervention Program (EICBO), Indiana Blue Cross Blue Shield (Anthem Central) via Availity, J15 CGS Administrators, LLC: Kentucky Medicare, Kentucky Blue Cross Blue Shield (Anthem Central) via Availity, JH Novitas Solutions, Inc: Louisiana Medicare, JK National Governent Services: Maine Medicare, Maine Blue Cross Blue Shield (Anthem East) via Availity, JL Novitas Solutions, Inc: Maryland Medicare, Blue Cross Blue Shield of MD (Carefirst) via Availity, JK National Government Services: Massachusetts Medicare, Mississippi Medicaid: Gainwell Technologies, JH Novitas Solutions, Inc: Mississippi Medicare, Missouri Department of Mental Health (CIMOR), Missouri Blue Cross Blue Shield (Anthem Central) via Availity, JF Noridian Administrative Services: Montana Medicare, JE Noridian Administrative Services: Nevada Medicare, Nevada Blue Cross Blue Shield (Anthem Central) via Availity, JK National Government Services: New Hampshire Medicare, New Hampshire Blue Cross Blue Shield (Anthem East) via Availity, JL Novitas Solutions, Inc: New Jersey Medicare, JH Novitas Solutions, Inc: New Mexico Medicare, New York Blue Cross Blue Shield: Excellus, New York Blue Cross Blue Shield: Empire via Availity, JF Noridian Administrative Services: North Dakota Medicare, Blue Cross Blue Shield of North Dakota via Availity, J15 CGS Administrators, LLC: Ohio Medicare, Ohio Blue Cross Blue Shield (Anthem Central) via Availity, JH Novitas Solutions, Inc: Oklahoma Medicare, JF Noridian Administrative Services: Oregon Medicare, JL Novitas Solutions, Inc: Pennsylvania Medicare, JK National Government Services: Rhode Island Medicare, JF Noridian Administrative Services: South Dakota Medicare, Tennessee Blue Cross Blue Shield: BCBS and TennCare, JH Novitas Solutions, Inc: Texas Medicare, JF Noridian Administrative Services: Utah Medicare, JK National Government Services: Vermont Medicare, JM Palmetto GBA: Virginia Medicare Part B, Virginia Blue Cross Blue Shield (Anthem) via Availity, JF Noridian Administrative Services: Washington Medicare, Washington State Department of Labor & Industries, JM Palmetto GBA: West Virginia Medicare Part B, Wisconsin Blue Cross Blue Shield (Anthem Central) via Availity, JF Noridian Administrative Services: Wyoming Medicare, Beacon Health Options (formerly Value Options), Veterans Affairs VA Fee Based Program (via Availity). I am so happy to have found you! The secure portal requires log in credentials that will allow access to specific patient information. My work is truly cut in half by using Claim Shuttle. LA Dept of Health and Hospitals. ADL Caregivers <25 Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. You can deactivate or delete job alerts by clicking the button below. 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. June 14, 2022 08:00 ET We also have a variety of leadership and technical development academies to help build your skills and capabilities. Last name. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Mississippi Medicaid has created the following guide on how to enroll: Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Be the first to receive the latest Nurse Full-Time Jobs in the US. Here are the details on this position.. Gainwell Technologies Selected to Provide Full Suite of If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. Learn more atwww.naspo.org. WebSummary. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. 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 take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Gainwell Technologies 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. WebMedicaid Services. Put your passion to work at Gainwell. x\o7n~ $61,700 to $99,200 Yearly. WebSummary. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). stream 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. Reno, NV. Members will have access to a training video on Oct. 1. I love it! Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Medicaid 4 0 obj 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. 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. To access the recording, pleaseclick here. We can now process 276/277 requests (claim status). It was nice to have a direct contact with the same representative until the problem was resolved. Gainwell has already contracted with more than 2600 pharmacies. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Summary Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. | Source: Want to receive job alerts for similar jobs? Experience in Healthcare, such as Medicaid or Medicare required, Distinguished Data Engineer, Card Commercialization (Remote Eligible), Engineering Manager, SkySat Data Pipeline, Do Not Sell or Share My Personal Information. The pay range for this position is $38,400.00 - $54,900.00 per year, however, the base pay offered may vary depending on geographic I just transmitted my first batch of electronic claims through Claim Shuttle! Home page - OH MCD SPBM.Web - Ohio The changes we make will help you more easily access information, locate health care providers, and receive quality care. Top Competitors of Gainwell Technologies. TTY: 711. We also have a variety of leadership and technical development academies to help build your skills and capabilities. My question is, "Why didn't I find out about Claim Shuttle earlier?!?" Verify solution meets the defined requirements through scenario testing. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? Working at Gainwell carries its rewards. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Share sensitive information only on official, secure websites. Here are the details on this position.. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. The Kansas Medicaid platform implementation sets the standard for states adopting modular As always excellent, professional, knowledgeable customer service. Posted: February 07, 2023. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. This single-vendor approach will result in lower total cost for TPL services and fully streamlines the process by filling in gaps that previously required multiple vendors and disparate point solutions. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Ohio Medicaid As an Experienced 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 is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. Full-Time. You have already created a job alert with same filters. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Clinical information that is available includesmember benefit and eligibility, pharmacy prescription claims activity, Rx prior authorizations, and Coordinated Services Program (CSP) status will be distributed to the MCEs, however, the portal will allow quicker access to the most current information. Have never had any problems and this is the easiest claim site. Test Engineer - Healthcare/Medicaid Testing Job in Reno, NV at 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Full-Time. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Ohio Department of Medicaid awards fiscal intermediary contract 3 . Thank you for your excellence! WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. The pay range for this position is $61,700.00 - $88,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Viewing this training is important for pharmacists and their support staff to learn about the many tools available on both the public facing and secure portal. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. As aData Mapping Leadat Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health andwell-being of the members they serve a communitys most vulnerable. Posted: December 06, 2022. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Thanks! We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Your session is about to expire. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? 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. {XOdE$p,Z0Hd(,.#3#LAs3DL~Z R2fX{jm.?VX.B^ `0?gLgpi:#[4d@Sa6 3C[-Z%,i0=z"YF8=kXh*b8\U^&}pm2Z|nL]Cm\ x)n'x2.ozUxil;3AcUf%9M`3pV1%iS&>gBj22W Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. Please enter a Name and Password so you can update your Job Alerts in the future. Working at Gainwell carries its rewards. Gainwell Implements Fully Modular, Cloud-Based Medicaid Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. 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. TennCare, Gainwell Technologies LLC and Axis Direct, Inc. announced today that they have notified approximately 3,300 Medicaid members in the State of Tennessee of a privacy issue that may have impacted their protected health information. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies.