For training registration instructions,click here.. Thank you for your excellence! Working at Gainwell carries its rewards. As a Test Engineer - Medicaid Testing at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs endobj Everything about it (including your team) is great! Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. 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. 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. 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. Home page - OH MCD SPBM.Web - Ohio GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. 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. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. 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. Ohio Medicaid is changing the way we do business. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. 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. Medicaid Management - Gainwell Technologies We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Build your career with Gainwell, an industry leader. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. stream A Happy Friday message from a Satisfied User! ADL Caregivers <25 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. 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. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. 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. Here are the details on this position.. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. 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. 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. 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. We can now process Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Please enter a Name and Password so you can update your Job Alerts in the future. NAICS Code 52,524. Experienced Business Analyst- Medicaid | Gainwell Technologies Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. 3 . <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 21 0 R 29 0 R 30 0 R 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Selecting Gainwell as our partner in administering a clinically driven, outcomes-oriented pharmacy program enables us to take advantage of their previous successes.. Gainwell Technologies selected to bring new level of , Pharmacy Web Portal training recording now available. SIC Code 63,632. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. Together, as one team, we collaborated on every aspect of this program. Thank you for your patience as we continue to enhance the system. Put your passion to work at Gainwell. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Verify solution meets the defined requirements through scenario testing. The rep and supervisor went out of their way to get the issue resolved. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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 If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Learn more about Gainwell at our and visit our for all available job role openings. Apply online instantly. Excellent service and I never give anyone "Excellent" scores on surveys. The following process must be followed prior to initiation of electronic claim submission or inquiry. Gainwell Technologies. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Department of Medicaid logo, return to home page. 2023. I am so happy to have found you! Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We offer clients scalable and flexible solutions for their most complex challenges. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Learn more about Gainwell at our and visit our for all available job role openings. 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. 2018, Chapter 136 and N.J.A.C. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. 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. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. To access the recording, pleaseclick here. June 14, 2022 08:00 ET P.L. Put your passion to work at Gainwell. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). ClaimShuttle - Mississippi Medicaid: Gainwell Technologies With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Gainwell Technologies LLC Medicaid Data Analyst SME Job in Here are the details on this position. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Share sensitive information only on official, secure websites. 1 0 obj Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Claims and encounters? Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Gainwell Technologies LLC Associate Field Technician in San Since 2010, Gainwell has achieved 16 Centers for Medicare We also have a variety of leadership and technical development academies to help build your skills and capabilities. Your product is everything you said it was. I am a very small company, and have actually now reduced my overhead by going with you guys! Medicaid I have also been transferred to other staff, who helped me resolve issues in the most professional way. 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 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. Gainwell Technologies Selected to Provide Full Suite of Please use the same Learning Management System (LMS) credentials set up during your registration to log in. 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. Gainwell Technologies LLC. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Registration for SPBM Web Portal training is now open for all members. Register today for SPBM Web Portal training! My question is, "Why didn't I find out about Claim Shuttle earlier?!?" We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Gainwell is experiencing very high call volumes related to prior authorizations. Ohio Department of Medicaid awards fiscal intermediary contract , 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Summary Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Gainwell is the market leader in providing Medicaid services. Indiana Medicaid: Partners: Gainwell Technologies The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Gainwell Technologies Build your career with Gainwell, an industry leader. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. <> We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 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. Thank you very much for the help. 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.