Gainwell Technologies LLC Job Description Essential Job Functions Principal Officer with responsibility for ensuring the Contractor adheres to the FI Contract’s Quality Management provisions.  Communication and dissemination of quality assurance and improvement information throughout all levels of Contractor Operations and concurrently to the Contracting Officer Basic Qualifications Shall have a minimum of five years’ quality management experience for a government or healthcare payer, including experience during implementation and testing of a new claims payment system. Extensive program administrative experience; strong exposure to Quality Management and Quality Assurance processes and ability to apply these processes to ensure including the accuracy and timeliness of a Contractor’s performance in each area of responsibility. Excellent verbal, written and presentation communication skills.  Relevant management experience Computer Science...

Gainwell Technologies LLC Summary As a Process Modeler / Trainer 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 community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Looking for a candidate with strong Medicaid or Healthcare background and ability to develop documentation and training materials. This candidate will present training (virtually or in-person) to end-user state clients, operations staff and other users of a new implementation. Your role in our mission Analyzes and documents client's business requirements and processes and communicates these requirements by constructing business process models Provides input to support requirement and design documentation for implementation projects...

Gainwell Technologies LLC Summary HMS is hiring Quality Assurance Analysts (QAAs) who will be responsible for verifying that the various Functional Areas have appropriate Standard Operating Procedures (SOPs) and are completing their tasks accurately and within standards. The QAAs document their findings, works with Functional Areas leaders to resolve issues, provide input on process improvements, assists with updating documentation, and generate the Monthly SLA report and other analytical reporting   Job Description Essential Job Functions:  •    Evaluates work products to independently assess quality and reports findings. Assists in implementing recommendations as approved.  •    Plans, tracks, and coordinates audit support tasks, gathering data or other information requested for audits, and obtains all information necessary to present a complete and accurate audit response to clients.  •    Reviews internal department performance as determined by procedures and measured...

Gainwell Technologies LLC Summary Your role in our mission 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. 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 Experience working with client company...

Gainwell Technologies LLC Summary Assists Medi-Cal providers with EDI transactions by furnishing them with enrollment and connectivity information, system access numbers and passwords, information on those transactions supported by Medi-Cal. Agents assist providers, submitters and third parties with submitting transactions and troubleshooting. Supports the business process services team in delivering efficient and effective outsourced processes and services within a specific industry and functional area to meet objectives and quality standards for clients. Completes work with a limited degree of supervision. Demonstrates specialized business skills acquired through job-related training and considerable on-the-job experience. May act as an informal resource for colleagues with less experience. Identifies key issues and patterns from partial/conflicting data. Takes a broad perspective to problems and spots new, less obvious solutions. Job Description Essential Job Functions...

Gainwell Technologies LLC Summary As a Senior Professional Procurement 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 community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. Here are the details of this position.  Your role in our mission Processes and completes moderately complex purchase orders; determines prices from available vendors which meet cost and quality guidelines; places orders; verifies receipt of purchase. Maintains approved supplier/vendor database. Monitors supplier/vendor performance through the administration of supplier/vendor measurement programs; makes recommendations for additions to and deletions from the supplier/vendor database as appropriate. Conducts complex negotiations with suppliers to obtain products...

Gainwell Technologies LLC Summary Responsible for leading process improvement projects and helping shape and lead Gainwell Technologies’ Operational Excellence department’s mission. Lead, motivate, and influence project teams and have the leadership ability to manage and drive change at all levels of the organization. Take challenging, ambiguous or visionary concepts, turn them into well scoped projects, and deliver successful process improvement results in a time efficient manner. A clear and effective communicator to succeed in your role as a lean six sigma leader, mentor, coach, and trainer. Adept at scoping problems, applying statistical techniques, and leading individuals through the obstacles of process improvement.   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.  Identify and execute against process improvement opportunities across the enterprise using...