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. View similar Healthcare / Careworkers jobs below. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! My question is, "Why didn't I find out about Claim Shuttle earlier?!?" WebOnsite, remote or Hybrid options may be available from US locations. It was nice to have a direct contact with the same representative until the problem was resolved. | Source: 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. Put your passion to work at Gainwell. Check. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Please accessthis job aidfor step-by-step instructions to sign up for a session. 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. You can deactivate or delete job alerts by clicking the button below. 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. 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. To access the recording, pleaseclick here. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. June 14, 2022 08:00 ET We also have a variety of leadership and technical development academies to help build your skills and capabilities. <> It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Joy Home Care <25 <$5M. A most unexpected experience: Someone who knows and is helpful. An Ohio.gov website belongs to an official government organization in the State of Ohio. Summary Click here to join our private community of job <>/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>> Thank you for your patience as we continue to enhance the system. Learn more about Gainwell at our. 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). The newly designed program is targeted for launch in January 2022. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Full-Time. Build your career with Gainwell, an industry leader. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. 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. We offer clients scalable and flexible solutions for their most complex challenges. 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. 1 . Posted: February 07, 2023. Build your career with Gainwell, an industry leader. Working at Gainwell carries its rewards. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. All Rights Reserved. For training registration instructions,click here.. Working at Gainwell carries its rewards. Build your career with Gainwell, an industry leader. 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! To access the recording, pleaseclick here. View job listing details and apply now. 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. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. 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 Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. WebSummary. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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 Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. #LI- Medicaid This contract win further validates the long-standing quality, effectiveness and innovation of our TPL solutions and they are invaluable in continuing to keep our nations healthcare programs protected and strong.. Gainwell Technologies LLC. 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. 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. 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. 4 0 obj Department of Medicaid logo, return to home page. Gainwell Technologies LLC. Have never had any problems and this is the easiest claim site. 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. 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. Document requirements for business and system requirements. The Customer Support Center is closed on Thanksgiving Day and Christmas. 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. Here are the details on this position. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. Read on if you are looking for information specific to our current programs. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. The Kansas Medicaid platform implementation sets the standard for states adopting modular 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 The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. Click OK to renew your session or Logout of the application. LA Dept of Health and Hospitals. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. Interface with the technical team to ensure designs are understood and properly implemented. Required Documents for those applying for new Submitter IDs. The single PBM is part of a larger overhaul of the Medicaid program designed to put the needs of Medicaid members first and bring visibility to the use of state dollars. , Pharmacy Web Portal training recording now available. Thanks! 2 0 obj Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. An official website of the State of Georgia. Gainwell has already contracted with more than 2600 pharmacies. Welcome to Working at Gainwell carries its rewards. View job listing details and apply now. WebWhat you should expect in this role. 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. 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. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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. Learn more atgainwelltechnologies.com. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Gainwell Technologies LLC. How can you stand out? I always get the most fabulous service when calling or emailing!!! We can now process Uses SQL, data models, data element dictionary and schema to perform data and business analysis. I am so happy to have found you! Reno, NV. As always excellent, professional, knowledgeable customer service. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Supports the ETL developers based on the mappings created. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) 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. Learn more about Gainwell at our and visit our for all available job role openings. Copyright 2023 Grabjobs Pte.Ltd. 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.Please have 25 test claims ready for testing. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. 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. The pay range for this position is $61,700.00 - $88,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important step forward in delivering a person-centric next generation managed care program to Ohio. 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. Last name. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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 secure portal requires log in credentials that will allow access to specific patient information. 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 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. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Some of the key benefits to Kansas include: A Strategic PartnershipKansas is proud of what we have accomplished through our strategic partnership with Gainwell, said Kansas Medicaid Director Sarah Fertig. We are proud to be an Equal Previous Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. x\o7n~ TennCare is committed to safeguarding the information of our members. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Learn more about Gainwell at our and visit our for all available job role openings. Find out what skills and jobs are in high demand. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Be part of a team that unleashes the power of leading-edge technologies to 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. 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. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Learn more atwww.naspovaluepoint.org. 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 The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. . This experience takes the partnership to an entirely new level. Registration for SPBM Web Portal training is now open for all members. To access the recording, pleaseclick here. Working at Gainwell carries its rewards. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! WebSummary. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. A gold mine!! I just transmitted my first batch of electronic claims through Claim Shuttle! Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Users may find helpful website links and documents within our online portal in the menu bar above. Put your passion to work at Gainwell. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. All Rights Reserved. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. 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. This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. First name. Reno, NV. Managed Care Entity Web Portal training recording now available. 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 in Healthcare, such as Medicaid or Medicare required, Distinguished Data Engineer, Card Commercialization (Remote Eligible), Engineering Manager, SkySat Data Pipeline, Do Not Sell or Share My Personal Information. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Full-Time. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. 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. ODM received six competitive offers in response to the single PBM request for proposal. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. As a result, health care providers are subject to meeting unique, time-consuming processes required by each MCO to prescribe important, sometimes life-sustaining medications. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Put your passion to work at Gainwell. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Your customer support reps are the best!!! My work is truly cut in half by using Claim Shuttle. Gainwell has already The reps even keep records of calls from the past, to ensure continuance of care. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Thanks for your honesty and integrity! Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. 3 0 obj Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. Put your passion to work at Gainwell. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. endobj Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.
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