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 LLC. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Other companies could learn from you. We are working to process these as quickly as possible. 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. The secure portal requires log in credentials. Build your career with Gainwell, an industry leader. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Posted: February 07, 2023. Reno, NV. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. From members and providers to managed care organizations and state agencies, this transformative system empowers stakeholders to get vital services more quickly and efficiently to drive better health outcomes. Build your career with Gainwell, an industry leader. 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. Please accessthis job aidfor step-by-step instructions to sign up for a session. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. 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. LA Dept of Health and Hospitals. 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. Claims and encounters? 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. Copyright 2023 Grabjobs Pte.Ltd. Click here to join our private community of job Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Build your career with Gainwell, an industry leader. PrescriberWeb Portal training recording now available. 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. Full-Time. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive Learn more atwww.naspovaluepoint.org. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide 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. View this and more full-time & part-time jobs in San Francisco, CA on If this is a transaction you would like to utilize please make sure to enroll with the payer. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. 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 Check. Apply online instantly. A lock or https:// means you've safely connected to the .gov website. Show More. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Here are the details on this position.. 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. Thanks for your honesty and integrity! Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Medicaid requires two test batches be successfully submitted in order to receive production approval. 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 Customer Support Center is closed on Thanksgiving Day and Christmas. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. 3 0 obj WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. 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. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. LA Medicaid Managed Care Organization. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies LLC. 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. Be part of a team that unleashes the power of leading-edge technologies to Be part of a team that unleashes the power of leading-edge To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. 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. View job listing details and apply now. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Gainwell is the market leader in providing Medicaid services. Just as you promised, I was up and running within 20 minutes of our initial conversation. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. NAICS Code 52,524. 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). Gainwell Technologies. I make phone calls a lot and I find few companies as engaged as yours. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. A gold mine!! Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. The ease of use and user-friendly environment is awesome. Summary 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. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. Creates accurate mapping documents according to the mapping process. October 18, 2022 09:30 ET Gainwell has already 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 rep and supervisor went out of their way to get the issue resolved. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Validates test plan results that satisfy the detailed design goals. 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. How can you stand out? For training registration instructions,click here.. All Rights Reserved. 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. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! 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. WebGainwell 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. The reps even keep records of calls from the past, to ensure continuance of care. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Your customer support reps are the best!!! Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. SPBM Clinical staff can also be reached via phone and email. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Please enter a Name and Password so you can update your Job Alerts in the future. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. 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