Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. You can also receive alerts via instant message. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. To access the recording, pleaseclick here. 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!!! 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. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Gainwell has already 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 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. You can deactivate or delete job alerts by clicking the button below. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. Apply online instantly. The secure portal requires log in credentials. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. I just wanted to let you know how impressed I am with this service. 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. I love it! Document requirements for business and system requirements. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Click OK to renew your session or Logout of the application. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. SPBM Clinical staff can also be reached via phone and email. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. . Learn more about Gainwell at our and visit our for all available job role openings. The secure portal requires log in credentials. The following process must be followed prior to initiation of electronic claim submission or inquiry. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. I am a very small company, and have actually now reduced my overhead by going with you guys! The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). View similar Healthcare / Careworkers jobs below. Gainwell Technologies. Here are the details on this position.. Managed Care Entities (MCE) including Managed Care Organizations (MCO) and the Prepaid Inpatient Health Plan (PIHP), which is also known as OhioRISE, will be given access to the SPBM online portal to view clinical profile information about members that are actively enrolled in their associated MCE. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Read on if you are looking for information specific to our current programs. HMS was selected as a supplier for ValuePoints TPL service offerings, allowing states to gain more efficiency and savings by choosing one sole provider to manage all their data and TPL service needs. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? We celebrate diversity and are dedicated to creating an inclusive environment for all employees. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Working at Gainwell carries its rewards. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Learn more about Gainwell at our. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. Working at Gainwell carries its rewards. SeniorinCare <25 <$5M. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Posted: February 07, 2023. Register today for SPBM Web Portal training! Welcome to ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Claims and encounters? The secure portal requires log in credentials that will allow access to specific patient information. I am so happy to have found you! ODM expects to award the POSV vendor by summer 2021. 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. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. We also have a variety of leadership and technical development academies to help build your skills and capabilities. In addition to HMS benchmark fees, our recoveries and savings for states and MCOs surpassed $1.5 billion in recoveries and an additional $2.5 billion in savings in 2021 providing clients with best-in-class ROI. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. https://pnm-preregistration.omes.maximus.com, OH_MCD_PBM_Network@gainwelltechnologies.com, Myers and Stauffer (PPAC) - Ohio Medicaid Pharmacy, Chapter 5160-26 - Ohio Administrative Code | Ohio Laws, Single Pharmacy Benefit Manager (SPBM) Secure Web Portal Provider Registration FAQ is available, Provider Registration Manual is available, Provider Registration Process training video is available, Check provider enrollment application status, You can also call or visit your local county office for help with benefits at 1-844-640-OHIO (6446). #LI- Medicaid Managed Care Entity Web Portal training recording now available. New Extensions for Gainwell Technologies Provider Representatives 12/7/2020 PDF Version TO: All Providers RE: New Extensions for Gainwell Technologies Provider Representatives Effective Wednesday, December 9, 2020, Gainwell Technologies Provider Representatives may be reached by dialing 855-523-9170, then dialing a new 7 WebSummary. {XOdE$p,Z0Hd(,.#3#LAs3DL~Z R2fX{jm.?VX.B^ `0?gLgpi:#[4d@Sa6 3C[-Z%,i0=z"YF8=kXh*b8\U^&}pm2Z|nL]Cm\ x)n'x2.ozUxil;3AcUf%9M`3pV1%iS&>gBj22W <> Your company feels young and fresh and it is a real pleasure being a client of yours. I always get the most fabulous service when calling or emailing!!! Put your passion to work at Gainwell. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. ADL Caregivers <25 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. 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. Build your career with Gainwell, an industry leader. Excellent service and I never give anyone "Excellent" scores on surveys. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. PrescriberWeb Portal training recording now available. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> 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 of our communities. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Supports the ETL developers based on the mappings created. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. A most unexpected experience: Someone who knows and is helpful. As aData Mapping Leadat 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. Copyright 2023 Grabjobs Pte.Ltd. Put your passion to work at Gainwell. 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. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. 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. 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. Top Competitors of Gainwell Technologies. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. 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 As always excellent, professional, knowledgeable customer service. We can now process As an Experienced 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.