Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. <>/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>> 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Put your passion to work at Gainwell. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. 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. Interface with the technical team to ensure designs are understood and properly implemented. View job listing details and apply now. Check. Build your career with Gainwell, an industry leader. We are redesigning our programs and services to focus on you and your family. Learn more at gainwelltechnologies.com. The rep and supervisor went out of their way to get the issue resolved. WebWhat you should expect in this role. Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Since 2010, Gainwell has achieved 16 Centers for Medicare Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Users may find helpful website links and documents within our online portal in the menu bar above. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. Working at Gainwell carries its rewards. Click OK to renew your session or Logout of the application. Full-Time. Learn more atwww.naspovaluepoint.org. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. ADL Caregivers <25 We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. Together, as one team, we collaborated on every aspect of this program. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled 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. This time it was warranted. 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. To access the recording, pleaseclick here. June 14, 2022 08:00 ET Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Here are the details on this position. 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. View job listing details and apply now. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. Learn more atgainwelltechnologies.com. It's great to have immediate help and knowledgeable support! 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 Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. 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. Click here to join our private community of job Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. For training registration instructions,click here.. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. Register today for SPBM Web Portal training! Build your career with Gainwell, an industry leader. Verify solution meets the defined requirements through scenario testing. Find the best jobs in the US, apply in 1 click and get a job today! Managed Care Entity Web Portal training recording now available. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Summary Put your passion to work at Gainwell. 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. Want to receive job alerts for similar jobs? I always get the most fabulous service when calling or emailing!!! 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! 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. An Ohio.gov website belongs to an official government organization in the State of Ohio. Your product is everything you said it was. Under | Source: WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Put your passion to work at Gainwell. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. This is a soft launch of the SPBM onlineportal with limited features. %PDF-1.7 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). Learn more about Gainwell at our and visit our for all available job role openings. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. We are working to process these as quickly as possible. 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. The following process must be followed prior to initiation of electronic claim submission or inquiry. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. 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. 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. 1 0 obj 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. To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. Read on if you are looking for information specific to our current programs. Working at Gainwell carries its rewards. Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? 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. Department of Medicaid logo, return to home page. Build your career with Gainwell, an industry leader. We offer clients scalable and flexible solutions for their most complex challenges. The following process must be followed prior to initiation of electronic claim submission or inquiry. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Thanks for your honesty and integrity! 2 0 obj Share sensitive information only on official, secure websites. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) You have reached your maximum number of active job alerts. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. The reps even keep records of calls from the past, to ensure continuance of care. Md]|k >i0NVxC?',X#g*. The Customer Support Center is closed on Thanksgiving Day and Christmas. 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. $63,130 to $78,957 Yearly. 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. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. Posted: February 07, 2023. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! Your role in our mission Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Thank you for your excellence! The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. x\o7n~ At issue was the lack of transparency. WebSummaryAs a [ [Medicaid Senior Business Analyst ]] 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. . 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. 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.
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