The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a, 401(k) employer match, comprehensive health benefits, We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. My work is truly cut in half by using Claim Shuttle. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. Thanks for your honesty and integrity! 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. Put your passion to work at Gainwell. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. All Rights Reserved. 6+ years of associated work experience in a software development environment, Practical ability with Microsoft Office as well as SQL, Demonstrated ability to independently manage multiple responsibilities, prioritize tasks and meet deadlines, Excellent written and verbal communication, Ability to perform in lead Business Analyst role on projects, Position open to candidates residing in Arkansas, El Paso, TX or Puerto Rico. Pharmacy Services. 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. 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. 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. , Pharmacy Web Portal training recording now available. 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 be joining a company where collaboration, innovation, and inclusion fuel our growth. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. 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 Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. 2018, Chapter 136 and N.J.A.C. Gainwell Technologies. It is made up of the directors of the central purchasing offices in each of the 50 states, the District of Columbia and the territories of the United States. 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. Since 2010, Gainwell has achieved 16 Centers for Medicare Learn more about Gainwell at our and visit our for all available job role openings. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. View job listing details and apply now. Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. The changes we make will help you more easily access information, locate health care providers, and receive quality care. 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. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. I just wanted to let you know how impressed I am with this service. This single-vendor approach will result in lower total cost for TPL services and fully streamlines the process by filling in gaps that previously required multiple vendors and disparate point solutions. Working at Gainwell carries its rewards. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. 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. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Gainwell Technologies LLC. The ease of use and user-friendly environment is awesome. The following process must be followed prior to initiation of electronic claim submission or inquiry. 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. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. PNM will replace MITS provider enrollment and provider data management. Reno, NV. Check. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> 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! Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. WebOnsite, remote or Hybrid options may be available from US locations. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Full-Time. The reps even keep records of calls from the past, to ensure continuance of care. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 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. Gainwell has already contracted with more than 2600 pharmacies. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. To access the recording, pleaseclick here. Document requirements for business and system requirements. 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. 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. Here are the details on this position. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Working at Gainwell carries its rewards. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Your product is everything you said it was. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. 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 Here are the details on this position.. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. 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. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. Provider The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Posted: February 07, 2023. WebWhat you should expect in this role. 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. 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. 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. $61,700 to $99,200 Yearly. Supports the ETL developers based on the mappings created. ODM expects to award the POSV vendor by summer 2021. x\o7n~ I make phone calls a lot and I find few companies as engaged as yours. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions.