I am so happy to have found you! 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! You have successfully created a new job alert. 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. 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. 2 . 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. Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus, 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, Fully remote, only US location options will be considered. My question is, "Why didn't I find out about Claim Shuttle earlier?!?" You have reached your maximum number of active job alerts. We are working to process these as quickly as possible. x\o7n~ 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. WebSummary. 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. 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. Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. 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. Ohio 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. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. June 14, 2022 08:00 ET 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. Learn more about Gainwell at our and visit our for all available job role openings. Gainwell is experiencing very high call volumes related to prior authorizations. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Put your passion to work at Gainwell. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. 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. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. Read on if you are looking for information specific to our current programs. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. Click OK to renew your session or Logout of the application. Your company feels young and fresh and it is a real pleasure being a client of yours. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. We also have a variety of leadership and technical development academies to help build your skills and capabilities. <> Put your passion to work at Gainwell. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. 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. 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. $63,130 to $78,957 Yearly. Users may find helpful website links and documents within our online portal in the menu bar above. , Pharmacy Web Portal training recording now available. 3 . Registration for SPBM Web Portal training is now open for all members. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. WebOnsite, remote or Hybrid options may be available from US locations. #LI- Medicaid Selecting Gainwell as our partner in administering a clinically driven, outcomes-oriented pharmacy program enables us to take advantage of their previous successes.. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. Please accessthis job aidfor step-by-step instructions to sign up for a session. Put your passion to work at Gainwell. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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 Here are the details on this position.. Since 2010, Gainwell has achieved 16 Centers for Medicare The ease of use and user-friendly environment is awesome. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Working at Gainwell carries its rewards. 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. 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. Be part of a team that unleashes the power of leading-edge 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. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. We offer clients scalable and flexible solutions for their most complex challenges. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. 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. Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare. endobj Please join the Gainwell Ohio SPBM training staff to learn the difference between the public and the secure portals, including how to register for the secure portal. Copyright 2023 Grabjobs Pte.Ltd. 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. San Francisco, CA. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. Summary Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. 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. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. ADL Caregivers <25 Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. WebSummary. Working at Gainwell carries its rewards. 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 To access the recording, pleaseclick here. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Provider 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. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Web1-770-325-2331 1-866-211-0950 (toll free) Providers, Trading Partners, or Provider Agents: Problems with registration or logging into the website should be directed to the Gainwell Technologies Company Georgia Medicaid EDI Services group. 2018, Chapter 136 and N.J.A.C. About Gainwell Technologies LLCGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. You can also receive alerts via instant message. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 1 0 obj Please enter a Name and Password so you can update your Job Alerts in the future. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational 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. 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! A Happy Friday message from a Satisfied User! Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. TTY: 711. 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. Here are the details on this position. Posted: February 07, 2023. 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Please enable Cookies and reload the page. There simply is no comparison! Hope Private In-Home Care <25 <$5M. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. You should receive an email with that information as well, Step 2: Register as a Trading Partner via the "Register Now" link:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure to select "Trading Partner" on the first screen, On the following screen you will need to enter the Trading Partner ID you received from Step 1 and enter your zip code, Please write down the User ID and Password you create on the next screen, After completing the rest of the required fields on this page, you will receive an email that contains a secure link to complete registration. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. You have already created a job alert with same filters. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? A most unexpected experience: Someone who knows and is helpful. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Verify solution meets the defined requirements through scenario testing. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services.

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