Learn more atwww.naspo.org. 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. Provider MMIS Replacement Project (MRP) - Mississippi Division of The Customer Support Center is closed on Thanksgiving Day and Christmas. 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. To access the recording, pleaseclick here. It's great to have immediate help and knowledgeable support! I always get the most fabulous service when calling or emailing!!! 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 Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. ClaimShuttle - Mississippi Medicaid: Gainwell Technologies Gainwell Technologies LLC Account General Manager - State 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. SPBM Clinical staff can also be reached via phone and email. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link Gainwell is the market leader in providing Medicaid services. Excellent service and I never give anyone "Excellent" scores on surveys. Here are the details on this position. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. My work is truly cut in half by using Claim Shuttle. | Source: The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Newly Formed Gainwell Technologies Named PBM for The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. We offer clients scalable and flexible solutions for their most complex challenges. WebWhat you should expect in this role. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Gainwell has already Gainwell Technologies Selected to Provide Full Suite of 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). 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 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! Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. 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. Working at Gainwell carries its rewards. Gainwell Technologies. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. The newly designed program is targeted for launch in January 2022. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Want to receive job alerts for similar jobs? Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Your customer support reps are the best!!! Read on if you are looking for information specific to our current programs. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies LLC. That is a direct consequence of your fantastic employees. Working at Gainwell carries its rewards. Put your passion to work at Gainwell. Put your passion to work at Gainwell. 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. Gainwell Technologies hiring Medicaid Data Analyst SME in San WebSummary. 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. TTY: 711. Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215, Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516, Gainwell Technologies selected to bring new level of accountability. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. $61,700 to $99,200 Yearly. We are redesigning our programs and services to focus on you and your family. 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. , Pharmacy Web Portal training recording now available. Your session is about to expire. This contract win further validates the long-standing quality, effectiveness and innovation of our TPL solutions and they are invaluable in continuing to keep our nations healthcare programs protected and strong.. An Ohio.gov website belongs to an official government organization in the State of Ohio. Learn more about Gainwell at our and visit our for all available job role openings. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Copyright 2023 Grabjobs Pte.Ltd. We are proud to be an Equal We celebrate diversity and are dedicated to creating an inclusive environment for all employees. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. I am so happy to have found you! 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. I have also been transferred to other staff, who helped me resolve issues in the most professional way. HIPP Unit, Gainwell Technologies | Georgia Medicaid Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Medicaid Management - Gainwell Technologies Thank you very much for the help. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. The following process must be followed prior to initiation of electronic claim submission or inquiry. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. Welcome to New Jersey Medicaid Headlines 3 - NJMMIS Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. You can also receive alerts via instant message. . Put your passion to work at Gainwell. Here are the details on this position. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. at 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. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell is the market leader in providing Medicaid services. 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. 2 0 obj 2 . Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Full-Time. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. Reno, NV. 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. As always excellent, professional, knowledgeable customer service. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Senior Business Analyst Medicaid Gainwell Technologies I am a very small company, and have actually now reduced my overhead by going with you guys! 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. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). We also have comprehensive leadership and technical development academies to help build your skills and capabilities. This time it was warranted. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? Have never had any problems and this is the easiest claim site. 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. Ohio WebMedicaid Services. Test Engineer - Medicaid Testing - Gainwell Technologies You can deactivate or delete job alerts by clicking the button below. 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. A Happy Friday message from a Satisfied User! Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. Medicaid Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Interface with the technical team to ensure designs are understood and properly implemented. Click OK to renew your session or Logout of the application. Medicaid 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. View job listing details and apply now. Joint Statement Regarding Privacy Breach 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. Neither ODM nor the state auditor could verify or refute the appropriate use of funds. 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. Posted: December 06, 2022. Working at Gainwell carries its rewards. TennCare is committed to safeguarding the information of our members. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. 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. Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. Thank you for your excellence! Ohio Medicaid is changing the way we do business. Since the start of the DeWine administration, ODM has launched several initiatives to drive transparency, reduce pharmacy costs, and simplify provider administration, said Maureen Corcoran, ODM director. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. Working at Gainwell carries its rewards. Please share my thanks with everyone involved. Gainwell Technologies selected to bring new level of WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. 3 . 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. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. Users may find helpful website links and documents within our online portal in the menu bar above. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Build your career with Gainwell, an industry leader. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. | Source: WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. Clipped from: 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. Be part of a team that unleashes the power of leading-edge technologies to Under Gainwell Technologies hiring Professional PHM Data Sciences PrescriberWeb Portal training recording now available. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. <> WebSummary. We also have a variety of leadership and technical development academies to help build your skills and capabilities. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. $63,130 to $78,957 Yearly. At issue was the lack of transparency. Attention All Providers: Nevada Medicaid Fiscal Agent stream Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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. 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. 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. WebOnsite, remote or Hybrid options may be available from US locations. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. 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. 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. Posted: February 07, 2023. Summary 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. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. Medicaid Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. %PDF-1.7 NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. 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. The following process must be followed prior to initiation of electronic claim submission or inquiry. , 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. 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.
