Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link Put your passion to work at Gainwell. All Rights Reserved. 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 configurable, nine-module system will transform how Kansas delivers healthcare solutions. ODM received six competitive offers in response to the single PBM request for proposal. You have successfully created a new job alert. 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. NASPO ValuePoint is the cooperative purchasing division of the National Association of State Procurement Officials (NASPO), facilitating cooperative public procurement solicitations using a Lead State model. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. 10:52B establish the New Jersey County Option San Francisco, CA. An official website of the State of Georgia. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. x\o7n~ View this and more full-time & part-time jobs in San Francisco, CA on 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. Have never had any problems and this is the easiest claim site. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Step 1: Enrollment via the "Trading Partner Enrollment" link on their website:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure your information matches what's in Medicaid's system, Please make sure the signature belongs to the authorized representative Medicaid has in their system for your company, Once you've completed enrollment, please write down the Trading Partner ID and password listed on that screen. Please accessthis job aidfor step-by-step instructions to sign up for a session. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. During the training, you will also learn about many exciting tools available on the SPBM Web Portal such as member eligibility, viewing prior authorization status, the ability to quickly speak with the SPBM help desk, and much more! 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. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Verify solution meets the defined requirements through scenario testing. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. Provider 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. Click here to join our private community of job Hope Private In-Home Care <25 <$5M. 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. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. 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. 2023. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. A most unexpected experience: Someone who knows and is helpful. https://www.linkedin.com/jobs/view/experienced-business-analyst-medicaid-at-gainwell-technologies-3480611811/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. % 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. Find out what skills and jobs are in high demand. Members will have access to a training video on Oct. 1. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We can now process We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. 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. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. WebSummary. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive $63,130 to $78,957 Yearly. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Learn more about Gainwell at our and visit our for all available job role openings. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. La Med. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. Check. 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. Be part of a team that unleashes the power of leading-edge technologies to Claims and encounters? Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. The following process must be followed prior to initiation of electronic claim submission or inquiry. Top Competitors of Gainwell Technologies. Required Documents for those applying for new Submitter IDs. Posted: February 07, 2023. Here are the details on this position.. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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. Thanks for your honesty and integrity! We also have comprehensive leadership and technical development academies to help build your skills and capabilities. WebOnsite, remote or Hybrid options may be available from US locations. An Ohio.gov website belongs to an official government organization in the State of Ohio. 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. Working at Gainwell carries its rewards. <> Please use the same Learning Management System (LMS) credentials set up during your registration to log in. 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. 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. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Managed Care Entities (MCE) including Managed Care Organizations (MCO) and the Prepaid Inpatient Health Plan (PIHP), which is also known as OhioRISE, will be given access to the SPBM online portal to view clinical profile information about members that are actively enrolled in their associated MCE. Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. 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. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Thank you for your patience as we continue to enhance the system. June 14, 2022 08:00 ET We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. $63,130 to $78,957 Yearly. 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 Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Welcome to 2018, Chapter 136 and N.J.A.C. 1 . 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Interface with the technical team to ensure designs are understood and properly implemented. You can also receive alerts via instant message. The Customer Support Center is closed on Thanksgiving Day and Christmas. The secure portal requires log in credentials that will allow access to specific patient information. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 3 0 obj Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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 Uses SQL, data models, data element dictionary and schema to perform data and business analysis.