Gainwell Jobs (13)

It takes great medical minds to create powerful solutions that solve some of healthcares most complex challenges. Join us and put your expertise to work in ways you never imagined possible.

We know youve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, youll have the opportunity to work more flexible hours.

And working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.

Summary

The Pharmacy Supervisor is responsible for managing a team of pharmacy technicians to decision prior authorizations and answer phone calls for the Ohio Department of Medicaid (ODM).

The supervisor will also be responsible for coaching, training, and monitoring the performance of the team to ensure they meet performance standards and company expectations.

Your role in our mission

• Lead and manage a team of pharmacy technicians to ensure exceptional service and compliance with service level agreements.
• Monitor call center performance metrics, identify areas for improvement, and optimize service delivery and customer satisfaction.
• Maintain a high level of knowledge about the Ohio Department of Medicaids prior authorization policies, and provide accurate and up-to-date information to staff and customers.
• Develop, review, and implement policies and procedures to improve call center operations' efficiency and effectiveness.
• Provide timely resolution of customer complaints and disputes, and escalate issues as necessary.
• Ensure HIPAA and Government security requirements compliance for all processes related to PHI sharing and storage, decision prior authorizations, and day-to-day operations.

What we're looking for

• Hold certification as a pharmacy technician with pharmacy experience
• Possess PBM (pharmacy benefit management) experience and knowledge of prior authorization processes
• Have proven experience as a call center supervisor or manager with strong leadership and people management skills
• Ability to analyze data, identify trends and make recommendations for improvements, and handle multiple tasks and priorities effectively

What you should expect in this role

• 100% remote work experience
• In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.

Greater speeds will of course provide better performance.

To Test your internet download and upload speed :

Go to

Search for Internet Speed Test or click .

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The pay range for this position is $48,400.00 - $69,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Pharmacy Supervisor is responsible for managing a team of pharmacy technicians to decision prior authorizations and answer phone calls for the Ohio Department of Medicaid (ODM).

The supervisor will also be responsible for coaching, training, and monitoring the performance of the team to ensure they meet performance standards and company expectations.

Your role in our mission

• Lead and manage a team of pharmacy technicians to ensure exceptional service and compliance with service level agreements.
• Monitor call center performance metrics, identify areas for improvement, and optimize service delivery and customer satisfaction.
• Maintain a high level of knowledge about the Ohio Department of Medicaids prior authorization policies, and provide accurate and up-to-date information to staff and customers.
• Develop, review, and implement policies and procedures to improve call center operations' efficiency and effectiveness.
• Provide timely resolution of customer complaints and disputes, and escalate issues as necessary.
• Ensure HIPAA and Government security requirements compliance for all processes related to PHI sharing and storage, decision prior authorizations, and day-to-day operations.

What we're looking for

• Hold certification as a pharmacy technician with pharmacy experience
• Possess PBM (pharmacy benefit management) experience and knowledge of prior authorization processes
• Have proven experience as a call center supervisor or manager with strong leadership and people management skills
• Ability to analyze data, identify trends and make recommendations for improvements, and handle multiple tasks and priorities effectively

What you should expect in this role

• 100% remote work experience
• In order to effectively work as a teleworker with Gainwell, employees Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.

Greater speeds will of course provide better performance.

To Test your internet download and upload speed :

Go to

Search for Internet Speed Test or click .

LI-REMOTE

LI-JT1

LI-CM1

The pay range for this position is $48,400 - $69,200 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

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.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.

Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.

We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Data Warehouse Developer 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

Data Warehouse developer should have hands-on experience in designing and implementing data warehouses and data marts for large healthcare institution.

Experienced with Oracle databases, Reading and creating dimensional data models (Snowflake Schemas). Work with business and technology teams to analyse requirements, estimate, plan, and design solutions.

Will also support the Enterprise Data Warehouse batch cycle and any required changes to the schedule. Interact with users to identify their requirements and deliver results appropriately.

Debug and troubleshoot production issues. Will assist the team by helping them in the data analysis requests, internal controls, performance tuning.

Strong experience in C and Pro *C. Strong problem-solving abilities and multitasking capabilities. Ability to perform well in high pressure, strong verbal, and written communication skills.

Demonstrated ability to understand and document business processes.

What we're looking for

• 9-12+ years of relational database (SQL, PL / SQL) experience in complex enterprise environment.
• 7+ years of data warehouse experience.
• 5+ years of experience in any ETL designing tool.
• 7+ years in developing solution using C, Pro *C.
• 7+ years of experience in Unix OS

Optional Skills :

• IBM DataStage experience.
• Business Objects.
• 7+ years in data-oriented software development environment.
• 4+ years of experience in shell scripting.

What you should expect in this role

• Work remotely within the US
• Up to 10% in potential travel

The pay range for this position is $90,900.00 - $129,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Summary

As a Drug Rebate Data Entry Clerk 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

• Support staff on daily Drug Rebate activities in scanning payment documentation, posting and reconcile payments timely and accurately in the system.
• Manage deposit spreadsheets and coversheets for all payment sent by drug manufacturers.
• Complete assignments and work products on schedule with quality results.
• Communicate assignment status and escalate issues timely.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).

What we're looking for

• Accounting or Finance experience
• Accuracy, efficiency, and attention to detail
• 10-Key proficiency
• Strong knowledge of Microsoft Office (Word, Excel, SharePoint, TEAMS, Outlook)
• High School Degree or Associates Degree (Preferred)

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What you should expect in this role

This position works on-site

Hours M-F 8 : 00 am to 4 : 30 pm

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.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.

Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.

We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Manager Accounting 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

Manages accounting functions including maintenance of general ledger, accounts payable, accounts receivable, and project accounting;

ensures accuracy and timeliness.

• Oversees the compilation, analysis and reporting of accounting data such as earnings, profits, cash balances, and other financial results to assess accuracy, completeness and conformance to reporting and procedural standards accuracy.
• Develops, implements and maintains systems, procedures and policies, including accounts payable functions to ensure adherence to company guidelines.
• Manages monthly closing of financial records and posting of month end information; ensures accuracy of financial statements.
• Enters status change information into project accounting software to ensure employee information is accurate and up to date.
• Verifies general ledger accounts are reconciled monthly to meet business needs. Ensures accounts are accurate and up to date.
• Provides accounting assistance to project managers and operations staff; responds to financial questions / concerns to meet business needs.
• Acts as a liaison between the company, government and external accountants to meet information needs and to ensure that proper information is maintained for historical purposes.
• Selects and hires employees. Trains and evaluates employees to enhance their performance, development, and work product.

Addresses performance issues and makes recommendations for personnel actions. Motivates and rewards employees including providing salary increases, bonuses and promotions within allocated budgets and company guidelines.

Prepares and recommends operating and personnel budgets for approval. Monitors spending for adherence to budget, recommends variances as necessary.

What we're looking for

• Bachelor's degree or equivalent combination of education and experience
• Bachelor's degree in business administration, accounting, finance, or related field preferred
• Nine or more years of accounting experience
• Five or more years of leadership or supervisory experience
• Experience working with generally accepted accounting principles and accounting software

What you should expect in this role

Remote work

The pay range for this position is $82,700.00 - $118,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Summary

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Your role in our mission

Essential Job Functions

• Performs highly complex financial analyses including budgeting, trend analysis, forecasting, and financial modeling; develops and implements capitalization methods, and reviews journal entries to meet business needs.
• Collects budget, midyear forecast and other financial information; interprets, summarizes, and uploads forecast information to financial systems to provide information about profit and loss;

may provide budget assistance to other department management.

Analyzes budget, midyear forecast and other financial information and prepares presentations with recommendations to senior management and corporate office;

communicates with management and the corporate office regarding financial issues.

• Develops financial controls, procedures, systems, and forecasting techniques to evaluate contract / program status and ensure compliance with government and customer requirements.
• Provides leadership and work guidance to less experienced personnel.
• Forecasts accurate and timely cash flow projections, sales projections, and expense projections to ensure that business needs are met.
• Assists department managers with the budgeting process by working with department managers through the development process of each budget.
• Assists in developing and implementing process or procedural changes, including training documentation and presentation to other organizations.

Collaborates with other departments in special projects as required.

What we're looking for

Basic Qualifications

• Bachelor's degree or equivalent combination of education and experience
• Bachelor's degree in business administration, finance, accounting or related field preferred
• Nine or more years of finance or accounting experience
• Experience working with accounting principles and accounting software and databases
• Experience working with financial analysis

What you should expect in this role

100% remote with occasional travel to Sacramento office

Summary

The Call Center Manager will oversee a primarily in-bound, call center and a Clinical Prior Authorization Center serving the Ohio Department of Medicaid.

Call center representatives respond to provider and member inquiries. The manager will monitor KPIs and ensure that all contractual obligations are met.

They will instill a culture of quality improvement and invest in staff development.

Your role in our mission

Manages the SPBMs dedicated call center team by overseeing hiring, training, staff recognition, and performance evaluation and management.

Fully engages in real-time performance monitoring to facilitate achievement of service level agreement requirements.

Ensures all policies and procedures are up to date.

Ensures inquiries and issues are researched and resolved in compliance with state-defined policies, procedures, and criteria.

Ensures clinical, operational, and experiential standards.

Coordinates with Quality personnel to facilitate quality improvement initiatives.

Ensures staff are initially trained and works with the Training Coordinator to assess ongoing training needs. Approves content.

Recommends staffing adjustments based on historical trends or current trend trajectory.

Develops useful management and client reports.

Liaise with subject matter experts regarding industry best practices, process improvement and customer service to maintain state-of-the-art Contact Center.

Meets regularly with client regarding contractual requirement updates.

Escalates matters to the state, when warranted.

Other duties as assigned / required.

What we're looking for

Bachelors degree in business management, Insurance, Healthcare or related field preferred or equivalent work experience.

Prior management experience required.

1-2 years of managed care, insurance, or pharmacy benefit management call center experience required.

Pharmacy experience required.

Medicaid experience preferred.

What you should expect in this role

Remote

Supporting an operation on Eastern Standard Time

Business travel as needed 25% or less.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Finance Manager will be responsible for overseeing the day-to-day operations of the Finance team for Nevada Medicaid.

In addition to the responsibilities of a people leader, this person will manage to the desired outcomes of the team ensuring Gainwell is meeting the fiscal contract requirements while making sure team activities are cost-effective and high-quality.

Your role in our mission

• Three or more years of leadership / supervisory experience.
• Demonstrated understanding of the fiscal components of claims processing including adjudication, adjustments, and provider payment as well as invoicing and collections.
• Minimum of five (5) years experience with Medicaid in a public or private setting.
• Working knowledge of HIPAA requirements and appropriate processes for handling Personal Health Information (PHI).
• Demonstrated analytical capabilities with experience in Microsoft Excel, MS PowerPoint, and MS Word skills.

What we're looking for

• Advanced interpersonal communication skills to effectively train, coach, support, and collaborate productively with key stakeholders at all levels.
• Ability to apply advanced problem-resolution skills to complex issues, quickly diagnose problems, and develop, assess, and implement appropriate and practical solutions on time.
• Effective documentation, written and verbal communications skills to convey complex information in a specific, clear, and concise manner.
• Advanced organizational and project management skills and ability to lead a team, prioritize tasks, and see projects through from inception to completion on schedule.
• Excellent computer skills in a Microsoft Windows environment including intermediate or better Microsoft Excel skills.

What you should expect in this role

Office environment in Reno, NV or remote if approved.

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The pay range for this position is $86,700 - $123,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Summary

As a Call Center Rep 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

This is an important position in Gainwells commitment to helping clients deliver better health and human services outcomes.

• Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
• Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved
• Adhere to the clients SLAs and consistently meet production targets
• Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
• Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow

What we're looking for

• 2 or more years of customer service experience in any industry
• Knowledge of basic help desk software, computer software and Microsoft Office applications
• Strong problem-solving skills to bring inquiries to effective resolution
• Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
• Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries

What you should expect in this role

Opportunities to travel through your work (0-10%)

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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.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development.

Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance.

We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Supervisor Finance 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

• Consolidate and own the company-wide explanations for our monthly and quarterly financial results, including drafting business memos to senior management, preparing templates and presentations etc.
• Collaborate cross-functionally with business finance and other teams to identify variances and the main drivers for variances as part of monthly / quarterly analysis.
• Prepare templates to explain financial results effectively to all levels of management. Be able to flex between high-level or detailed explanations as needed.
• Prepare monthly cashflow statement as per GAAP.
• Perform ad hoc analysis in support of our executive leaders and senior management.
• Ability to understand financial statements and their interdependencies

What we're looking for

• A thorough understanding of accounting principles and the application of these principles is highly desirable
• Advanced Excel and financial modeling skills
• Strong attention to detail.
• Ability to work both independently and as part of a team.
• Working knowledge of S4 Hana, Tableau preferred, expert knowledge in Microsoft Excel (e.g., various lookup functions, pivot tables, financial analysis formulas, and data manipulation techniques) is preferred.
• Strong written / verbal communication skills to effectively explain financial concepts.
• Need to have high bandwidth home internet connection and non-disruptive work environment for remote working.
• Minimum of 8 years of experience in accounting roles is needed.
• An ideal background would be a Masters in accounting.

What you should expect in this role

Remote Work

The pay range for this position is $55,500.00 - $79,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Product Marketing Advisor is responsible for driving demand for the assigned portfolio of solutions. This position is responsible for understanding the market and buyers, developing the product marketing strategy and go-to-market plans, crafting differentiating messaging, and producing related deliverables for the Sales, Marketing and Product organizations at Gainwell Technologies.

The ideal candidate must be self-motivated, must have demonstrated excellent leadership, collaboration, and business acumen and must have a broad understanding of the overall marketing function.

Your role in our mission

• Acquire and apply market, competitive, and customer insights to inform marketing plans and provide insights to help guide the solution roadmap and strategy.
• Craft value propositions and go-to-market messages with clearly defined differentiators.
• Collaborate with product managers, subject matter experts, outside vendors and other team members
• Design robust product launches / re-launches and manage the cross-functional implementation of the plan.
• Work collaboratively with other functions to create a go-to-market strategy, messaging, content and campaign plan to drive demand and lead generation activities.
• Work with marketing team members to create impactful marketing resources, including case studies, data sheets, whitepapers, FAQs, blog posts, sales presentation decks, etc.
• Work with sales team members and other internal stakeholders to provide training on value propositions and product positioning.
• Track feedback and monitor industry trends to ensure campaign relevancy, measure performance and adjust marketing accordingly.

What we're looking for

• 5+ years of product marketing experience
• Strong writing skills
• 3-5 yrs of healthcare / tech experience - preferred
• Proven experience creating innovative, high-impact go-to-market strategies.
• Exceptional knowledge of sales, marketing and development processes.
• Proficiency in Microsoft Office tools, Salesforce.com and Adobe Suite appreciated.
• Experience working within an Account-Based Marketing environment appreciated.
• Outstanding written and verbal communication skills.
• Excellent people skills, including effective presentation skills.
• Proven ability to handle multiple projects simultaneously, working under pressures and deadlines to complete assigned tasks.
• Ability to effectively manage relationships in a dynamic marketing organization and work well in cross-functional teams

What you should expect in this role

This is a remote position, and can be based anywhere in the US

The pay range for this position is $82,700.00 - $118,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. Youll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Call Center Representative - West Sacramento, CA 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.

Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges.

Here are the details on this position.

Your role in our mission

This is an important position in Gainwells commitment to helping clients deliver better health and human services outcomes.

• Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
• Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved
• Adhere to the clients SLAs and consistently meet production targets
• Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
• Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow

What we're looking for

• 2 or more years of customer service experience in any industry
• Knowledge of basic help desk software, computer software and Microsoft Office applications
• Strong problem-solving skills to bring inquiries to effective resolution
• Strong customer service skills with an emphasis on written and oral communication to respond to inquiries professionally
• Ability to understand your role on a team and identify the correct stakeholders to consult to resolve client inquiries

What you should expect in this role

This is an on-site position.

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The pay range for this position is $32,700 - $40,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. Youll have the 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.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.