Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. ODM expects to award the POSV vendor by summer 2021. You can deactivate or delete job alerts by clicking the button below. endobj 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. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. #LI- Medicaid endobj WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. We also have a variety of leadership and technical development academies to help build your skills and capabilities. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. View job listing details and apply now. 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. I just wanted to let you know how impressed I am with this service. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. 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. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Summary Put your passion to work at Gainwell. 10:52B establish the New Jersey County Option Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. A most unexpected experience: Someone who knows and is helpful. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Show More. 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! 4 0 obj Members will have access to a training video on Oct. 1. Supports the ETL developers based on the mappings created. Excellent service and I never give anyone "Excellent" scores on surveys. . Validates test plan results that satisfy the detailed design goals. 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 following process must be followed prior to initiation of electronic claim submission or inquiry. TTY: 711. Find the best jobs in the US, apply in 1 click and get a job today! This experience takes the partnership to an entirely new level. Gainwell Technologies LLC. $63,130 to $78,957 Yearly. We offer clients scalable and flexible solutions for their most complex challenges. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Build your career with Gainwell, an industry leader. Department of Medicaid logo, return to home page. La Med. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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. Put your passion to work at Gainwell. Full-Time. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. 1 . 2023 Snagajob.com, Inc. All rights reserved. This time it was warranted. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. The changes we make will help you more easily access information, locate health care providers, and receive quality care. An official website of the State of Georgia. Learn more about Gainwell at our and visit our for all available job role openings. Want to receive job alerts for similar jobs? 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 are redesigning our programs and services to focus on you and your family. 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 add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Gainwell Technologies. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. 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.

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