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. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 3 . Show More. 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 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. Want to receive job alerts for similar jobs? Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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! Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. #LI- Medicaid. Please accessthis job aidfor step-by-step instructions to sign up for a session. Medicaid Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. #LI- Medicaid 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. View job listing details and apply now. The ease of use and user-friendly environment is awesome. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. First name. Please share my thanks with everyone involved. Gainwell Implements Fully Modular, Cloud-Based Medicaid Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. The secure portal requires log in credentials. We can now process Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. endobj Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. The following process must be followed prior to initiation of electronic claim submission or inquiry. Put your passion to work at Gainwell. 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. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important For training registration instructions,click here.. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Tableau Report Developer Job in San Francisco, CA at Gainwell P.L. PrescriberWeb Portal training recording now available. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. , 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. Learn more about Gainwell at our and visit our for all available job role openings. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. 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 Medicaid Management - Gainwell Technologies SPBM Clinical staff can also be reached via phone and email. Gainwell is the market leader in providing Medicaid services. <> Gainwell is the market leader in providing Medicaid services. Find out what skills and jobs are in high demand. The Kansas Medicaid platform implementation sets the standard for states adopting modular The reps even keep records of calls from the past, to ensure continuance of care. Working at Gainwell carries its rewards. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. 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. If this is a transaction you would like to utilize please make sure to enroll with the payer. 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. Put your passion to work at Gainwell. Gainwell Technologies LLC Account General Manager - State Together, as one team, we collaborated on every aspect of this program. This experience takes the partnership to an entirely new level. WebSummary. endobj Your product is everything you said it was. 3 0 obj GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! We also have a variety of leadership and technical development academies to help build your skills and capabilities. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. I love it! Gainwell Technologies hiring Professional PHM Data Sciences SIC Code 63,632. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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 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. About NASPO and NASPO ValuePointThe National Association of State Procurement Officials (NASPO) is a non-profit association dedicated to advancing public procurement through leadership, excellence and integrity. Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information. Working at Gainwell carries its rewards. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Joint Statement Regarding Privacy Breach Indiana Medicaid: Partners: Gainwell Technologies 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). We also have a variety of leadership and technical development academies to help build your skills and capabilities. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. An Ohio.gov website belongs to an official government organization in the State of Ohio. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. Thanks! All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Medicaid Your role in our mission The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Medicaid We also have comprehensive leadership and technical development academies to help build your skills and capabilities. . 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. Ohio Medicaid 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. 1 . Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. Welcome to 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. Attention All Providers: Nevada Medicaid Fiscal Agent 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 On February 1, Ohio Medicaid launched the new electronic data interchange (EDI) and fiscal intermediary as part of our ongoing commitment to streamlining the provider administrative experience. 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. To allow providers an advanced opportunity to set up their OH|ID and associate their accounts, ODM has launched a PNM pre-registration site at:https://pnm-preregistration.omes.maximus.com. You should receive an email with that information as well, Step 2: Register as a Trading Partner via the "Register Now" link:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure to select "Trading Partner" on the first screen, On the following screen you will need to enter the Trading Partner ID you received from Step 1 and enter your zip code, Please write down the User ID and Password you create on the next screen, After completing the rest of the required fields on this page, you will receive an email that contains a secure link to complete registration. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. View similar Healthcare / Careworkers jobs below. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Summary WebMississippi Division of Medicaid Date: August 17, 2022 Plan Name/Group Name: Mississippi Division of Medicaid BIN: 025151 PCN: DRMSTEST - TEST DRMSPROD PROD Processor: Gainwell Technologies Effective as of: August 2022 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: April 2022 2018, Chapter 136 and N.J.A.C. We offer clients scalable and flexible solutions for their most complex challenges. 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. You have reached your maximum number of active job alerts. Reno, NV. LA Medicaid Managed Care Organization. Gainwell Technologies LLC Associate Field Technician in San Medicaid Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. 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. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. Gainwell Technologies Selected to Provide Full Suite of 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. Your customer support reps are the best!!! 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. A most unexpected experience: Someone who knows and is helpful. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. The secure portal requires log in credentials. 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. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. This is a soft launch of the SPBM onlineportal with limited features. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. 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. 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. Top Competitors of Gainwell Technologies. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. Gainwell Technologies LLC A lock or https:// means you've safely connected to the .gov website. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Posted: February 07, 2023.
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