Gainwell

  • Boise, ID, USA
Gainwell Remote * (Oklahoma City, OK, USA)
Sep 19, 2021
Job Description: Essential Job Functions Performs standard, recurring processing, and quality tasks in support of outsourced services within a specific industry and functional area. Demonstrates knowledge and skill in assigned work processes. Develops understanding of the client's business and applies knowledge to support efficient procedures and adherence to service level agreements. Contributes to problem identification and resolution. Interprets, audits, and reconciles reports for accuracy or completeness. Prepares and maintains standard reports for management and clients. Handles company confidential data according to policy and guidelines. Adheres to existing security policies and procedures. Cover Call Center roles/tasks when needed Basic Qualifications High school diploma or G.E.D. Two or more years of experience with business process service delivery and improvement, preferably in an outsourcing environment Other Qualifications Communication skills...
Gainwell Remote * (Dublin, OH, USA)
Sep 18, 2021
Job Description: The Pharmacy Call Center Supervisor works closely with staff and reports to the Call Center Manager to ensure consistency in programs for the Medicaid recipient and facilitates effective interfaces among team members, providers and Medicaid recipients. The Call Center Supervisor is also responsible for ensuring the day to day implementation of Medicaid services policies and procedures. Candidate must be available to commute and work on-site 1-2 days a week (or as needed) to Columbus, OH area for the first 6 months to facilitate on-boarding. The Pharmacy Call Center Supervisor works closely with staff and reports to the Call Center Manager to ensure consistency in programs for the Medicaid recipient and facilitates effective interfaces among team members, providers and Medicaid recipients. The Call Center Supervisor is also responsible for ensuring the day to day implementation of Medicaid services policies and procedures. Candidate must be available to commute...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 17, 2021
Gainwell Technologies LLC Performs complex product design, bug verification, systems analysis, release testing and programming activities, using research and analysis. Supports full life-cycle of product development processes for creating new products and services. Investigates and resolves complex business and technical product integration matters of significance. Focuses on a specific product or family of technologies in multiple platforms; functions independently within a business area and assists at the enterprise level to influence the technical decisions during various phases of the project. Essential Job Functions Solid understanding of source management, application lifecycle management, build management and package management tools TFS, Azure DevOps/VSTS, Visual Studio, Maven. Experienced in leading efforts to implement continuous improvements to all areas of pipeline automation and infrastructure services in order to improve the effectiveness and efficiency of...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 17, 2021
Gainwell Technologies LLC Gainwell Technologies is the leading provider of technology solutions for the health and human services program. We are a new company with an exceptional track record of over 50 years of proven experience thanks to our great employees. We're looking for a dynamic data engineer with Apache Spark and AWS experience to join the product development team at Gainwell Technologies. You will have the opportunity to work as part of a cross-functional team to define, design and deploy frameworks for data collection, normalization, transformation, storage and reporting on AWS to support the analytic missions of Gainwell and its clients. Essential Job Functions Design, develop and deploy data pipelines including ETL-processes for getting, processing and delivering data using Apache Spark Framework. Monitor, manage, validate and test data extraction, movement, transformation, loading, normalization, cleansing and updating processes. Build complex...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 17, 2021
Gainwell Technologies LLC Creates the architecture required to translate customer business requirements into specific systems and applications for information technology solutions. Develops complex information technology business architecture methods and procedures. Develops systematic business plans to ensure that plans are compatible with the needs of the customer. Defines conceptual architectures for business capabilities at a high level to ensure that implementations meet business goals and are consistent with the customer's target state architecture. Essential Job Functions Technical architect for all technical design, construction, and implementation consulting related to the mobile digital platform (MDP) Will guide the MDP team and directly participate in the design and development of the platform to create the most appropriate architecture for the business direction Will do prototypes to test new concepts and features when needed Will review code developed...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 17, 2021
Gainwell Technologies LLC Provides architectural oversight for the development of highly complex new and/or enhanced applications or products. Integrates components built by application developers and/or programmers as needed. Provides technical advice to other departments within the company. Essential Job Functions Reviews and conducts technical research, testing, evaluation and documentation of complex hosting/configuration tools and methodologies to ensure that tools are current and functional. Creates complex application architectures and populates an application host/configuration matrix with appropriate strategies, timelines and cost information to increase cost efficiency and effectiveness. Coordinates with application developers, managers and customer application experts to ensure that required features and modifications are included in the appropriates releases to support cross-product features and to communicate architectural designs and standards....
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 17, 2021
Gainwell Technologies LLC Gainwell is looking for a cross-functional senior AWS developer to join the analytics group in their product development team. The analytics group is responsible for the design and deployment of analytics platforms and solutions to support Gainwell clients. In this role, you will work with AWS using Agile/Infrastructure as Code (IaC) methodologies to plan, test and deploy AWS infrastructure to support the organization's analytic goals & vision. Essential Job Functions Work collaboratively to architect, develop, test and deploy infrastructure on AWS to support analytic workloads. Develop scalable, resilient, reproducible solutions that meet the business, technical and security needs of the organization. Develop and support CI/CD infrastructure as code (IaC) pipelines for cloud environment. Contribute to developing proof-of-concept use-cases as necessary. Automate repeatable tasks and create efficiencies in the workflows. Provide...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 16, 2021
Gainwell Technologies LLC Job Description Summary: Gainwell is looking for a cross-functional senior AWS developer to join the analytics group in their product development team. The analytics group is responsible for the design and deployment of analytics platforms and solutions to support Gainwell clients. In this role, you will work with AWS using Agile/Infrastructure as Code (IaC) methodologies to plan, test and deploy AWS infrastructure to support the organization's analytic goals & vision. Essential Job Functions Work collaboratively to architect, develop, test and deploy infrastructure on AWS to support analytic workloads. Develop scalable, resilient, reproducible solutions that meet the business, technical and security needs of the organization. Develop and support CI/CD infrastructure as code (IaC) pipelines for cloud environment. Contribute to developing proof-of-concept use-cases as necessary. Automate repeatable tasks and...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 16, 2021
Gainwell Technologies LLC Performs complex product design, bug verification, systems analysis, release testing and programming activities, using research and analysis. Supports full life-cycle of product development processes for creating new products and services. Investigates and resolves complex business and technical product integration matters of significance. Focuses on a specific product or family of technologies in multiple platforms; functions independently within a business area and assists at the enterprise level to influence the technical decisions during various phases of the project. Essential Job Functions Designs and delivers complex, comprehensive product based business solutions at the enterprise level using customized methodology and work products. Monitors and/or leads the product implementation process, ensuring that the solution is sound, appropriate and cost-justified, the components integrate properly, and the domains of change within the scope...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 16, 2021
Gainwell Technologies LLC Gainwell needs a hands-on DevOps Architect that drives the creation and adaption of automation roadmaps, patterns, and best practices. The role requires architect to be a leader that can effectively articulate and communicate technology alternatives to product teams. This role requires experience with DevOps practices such as Continuous Integration, Continuous Delivery, Infrastructure Automation solutions to improve the Agility and Efficiency of Technology Delivery teams. Experience with implementing reliable platforms/architecture, automation of monitoring and logging to provide end to end visibility and automation, using automation for operations cutting repetitive operations tasks. Essential Job Functions Assists management in researching existing business environment including trends, best practices and company preferred architectural frameworks and alliances to ensure that company services match business trends. Facilitates reduced risks...
Gainwell Remote * (Englewood Cliffs, NJ 07632, USA)
Sep 16, 2021
Gainwell Technologies LLC Performs complex product design, bug verification, systems analysis, release testing and programming activities, using research and analysis. Supports full life cycle of product development processes for creating new products and services. Investigates and resolves complex business and technical product integration matters of significance. Focuses on a specific product or family of technologies in multiple platforms; functions independently within a business area and assists at the enterprise level to influence the technical decisions during various phases of the project. Essential Job Functions Solid understanding of source management, application lifecycle management, build management and package management tools TFS, Azure DevOps/VSTS, Visual Studio, Maven. Experienced in leading efforts to implement continuous improvements to all areas of pipeline automation and infrastructure services in order to improve the effectiveness and efficiency of...
Gainwell Remote * (Little Rock, AR, USA)
Sep 14, 2021
Job Description: Essential Job Functions Work collaboratively to architect, develop, test and deploy infrastructure on AWS to support analytic workloads. Develop scalable, resilient, reproducible solutions that meet the business, technical and security needs of the organization. Develop and support CI/CD infrastructure as code (IaC) pipelines for cloud environment. Contribute to developing proof-of-concept use-cases as necessary. Automate repeatable tasks and create efficiencies in the workflows. Provide senior level guidance or lead in the planning and direction of the project to meet required objectives. Document and champion good engineering practices within product development teams. Basic Qualifications Bachelor's degree in computer science, MIS, or related area, or equivalent combination of education and experience 5+ years of relevant experience in analytics 3+ years experience in deploying infrastructure on AWS to support analytic...
Gainwell Remote * (Richmond, VA, USA)
Sep 12, 2021
Job Description: Reporting to the CHRO, the Head of DE&I is responsible for developing implementing, monitoring and evaluating enterprise-wide programs and initiatives related to diversity, equity, and inclusion. Essential Job Functions: Serve as a senior leader on the HR Leadership Team Work with Gainwells senior leadership to develop Gainwells DE&I strategic roadmap and build a culture of diversity, equity, and inclusion Provide thought leadership and partners in the development of policies and programs to attract, retain and promote a diverse workforce for the organization Actively collaborate with the senior leadership team to develop strategies, objectives, plans and policies to meet the goals of the organization. Lead the design, development, implementation and evaluation of D&I programs and initiatives that align to key business objectives. Act as subject matter expert and internal consultant to operationalize D&I initiatives across all...
Gainwell Remote * (Reno, NV, USA)
Sep 12, 2021
Job Description: The Provider Enrollment Advisor will support the Provider Enrollment Manager and team for Nevada Medicaid. This person will guide the team to desired outcomes ensuring Gainwell is meeting Federal, State and Agency guidelines and achieving service level agreements while supporting team activities that are cost-effective and high-quality. Experience: A bachelor's degree and three years of experience in contact center operations, provider services or an agency program area or an equivalent combination of education and experience. Two years of experience working in a provider contact center, provider enrollment or other provider services teams in Medicaid or other major public or private health care programs. Five years experience in which problem solving and research were major keys to success. Working knowledge of HIPAA requirements. Demonstrable understanding of Medicaid provider functions. Knowledge of provider enrollment processes and requirements for...
Gainwell Remote * (Madison, WI, USA)
Sep 12, 2021
Job Description: The Insurance/Healthcare job family contains positions associated with providing consultancy, utilizing knowledge and expertise on insurance and healthcare. Develops and implements general insurance and health policies in accordance with state and federal laws. Provides expertise to investigate and adjudicate claim characteristics that do not match policy provisions. Responds to provider appeals and meets with providers to resolve problems/issues. Provides directions for utilization review. Approves any remedial or recoupment actions associated with escalated claims. Advises provider review councils, state officials and works with organized healthcare groups and associations on various medical issues related to insurance and healthcare programs Responsibilities: Participates in the identification, documentation, analysis and validation of basic business processes, systems, and solution requirements. Review data and make independent decisions with some...
Gainwell Remote * (Boise, ID, USA)
Sep 12, 2021
Job Description: Duties and Responsibilities Review and process initial provider enrollment applications per State requirements Updates provider changes, certifications, and license updates Navigates multiple licensing and medical certification websites to obtain updates Follows up with providers on outstanding issues within contractual guidelines set by our customer Provides excellent customer service with professional verbal and written abilities Interacts with providers and coworkers in a professional manner Ability to identify when to elevate a documentation issue and identify the root cause Records calls accurately in a call tracking system and records all steps accurately in the providers file Maintains specific quality and quantity standards Assists providers via telephone and email to resolve credentialing and enrollment issues related to the provider file \u200b Knowledge, Skills and Abilities Excellent organizational, verbal, and written...
Gainwell Remote * (Little Rock, AR, USA)
Sep 12, 2021
Job Description: Essential Job Functions Solid understanding of source management, application lifecycle management, build management and package management tools TFS, Azure DevOps/VSTS, Visual Studio, Maven. Experienced in leading efforts to implement continuous improvements to all areas of pipeline automation and infrastructure services in order to improve the effectiveness and efficiency of overall DevOps capability. Experience with secure scripting/coding, collaboration across multiple product development teams and complex troubleshooting across multiple infrastructure teams. Knowledge of cloud environments. Knowledge in various branching/merging methodologies and release procedures. Basic Qualifications Bachelor's degree or equivalent combination of education and experience Bachelor's degree in software engineering, information systems, computer science, or related field preferred 6+ years of IT technical experience in product design and support 3+ years of...
Gainwell Remote * (Little Rock, AR, USA)
Sep 09, 2021
Job Description: Under moderate supervision, the PBA Practice Administrative Assistant provides administrative support to PBM Practice Team. Performs specialized administrative duties as appropriate for department. Essential Job Functions Performs general office duties for department such as word-processing, photocopying, faxing, report generation, and filing; may provide specialized administrative support such as basic graphic creation for presentations and documents. Performs routine office duties according to business unit/functional area such as entering information into databases, compiling and analyzing simple data, and preparing reports and presentations to convey results. Coordinates outgoing department correspondence; may create original correspondence; distributes incoming e-mail to appropriate personnel. Distributes documents to department employees such as faxes, staff calendars, or proposal responses; scans documents as necessary; ensures documents are...