Gainwell Technologies

Own and lead the end-to-end analytics lifecycle to support cost containment solutions, ensuring operational excellence and continuous improvement. | Extensive leadership experience in healthcare analytics or related fields, with deep domain knowledge of healthcare claims, coding, and payer rules, and experience managing analytics teams and lifecycle. | 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. You’ll 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. Gainwell Technologies is seeking an innovative and experienced Vice President of Analytics Life Cycle Management to lead the strategy, development, deployment, optimization, and ongoing performance measurement of analytics capabilities supporting our Pre- and Post-Pay Cost Containment solutions. This executive will own the full analytics life cycle—from data acquisition, model design, rules development, refinement, and validation, to operationalization and continuous performance monitoring. The ideal candidate brings deep expertise in healthcare analytics, advanced modeling, and rules-based detection frameworks, along with a proven ability to drive cross-functional alignment between data engineering, product, audit/recovery, and payment integrity operations. The VP will ensure that analytics-driven insights and logic consistently deliver measurable cost savings, operational efficiency, and high performance for our government and payer clients. Key Responsibilities Analytics Strategy & Vision • Define the enterprise strategy for analytics life cycle management across pre- and post-pay cost containment solutions. • Align analytical capabilities with client outcomes, new product development, and payment integrity goals. • Drive innovation in detection logic, predictive models, machine learning, and rules-based engines to improve savings and accuracy. Analytics Life Cycle Ownership • Own the end-to-end life cycle for all analytics—ideation, design, development, testing, deployment, monitoring, optimization, and retirement. • Establish consistent methodologies for rules creation, edits, models, scoring frameworks, and performance benchmarking. • Ensure all analytics are supported by accurate documentation, reproducible methods, and clear versioning controls. Data Partnership & Integration • Partner closely with Data Management, Data Engineering, and Architecture teams to ensure analytics requirements align with data structures and availability. • Collaborate with technology teams on analytical platform design, data pipelines, and tools enabling scalable execution. Performance Management • Develop KPIs, scorecards, dashboards, and monitoring frameworks for ongoing analytics performance measurement. • Lead root-cause analysis, model recalibration, rule refinement, and enhancements based on operational outcomes. • Ensure accuracy, precision, and compliance with contractual and regulatory requirements. Cross-Functional Collaboration • Work with Audit, Clinical, Operations, and Product teams to validate analytics outputs and align detection logic with workflows. • Support Sales and Client Services by producing new analytics concepts to present to clients, communicating value drivers and participating in client discussions and roadmap presentations. • Preside over the client analytic concept presentation and approval process, coordinating as required across sales, client management and operations to ensure high levels of client approval following initial presentation. • Serve as senior strategic operations advisor to partner with in-house AI team to drive improvements in speed, breadth and reach of new analytic ideation process and analytic yields. • Serve as a senior advisor for new client implementations and analytics onboarding. Leadership & Organizational Management • Lead a high-performing team of analytics managers, data scientists, statisticians, rules/business analysts, clinical SMEs. • Foster a culture of scientific rigor, innovation, operational excellence, and continuous improvement. • Oversee staffing, budgeting, resource planning, and professional development for analytics personnel. Required Qualifications • 10+ years of leadership experience in analytics, data science, payment integrity, or related fields. • Deep domain knowledge of healthcare claims, eligibility data, coding structures, reimbursement, and payer business rules. • Experience leading analytics life cycles including rules engines, predictive models, anomaly detection, machine learning, or scoring algorithms. • Strong understanding of data pipelines, data structures, and integration with data engineering and data management teams. • Proven track record of improving model or rule accuracy, savings yield, and operational efficiency. • Strong communication skills with the ability to translate analytical logic into business value. • Demonstrated ability to lead and inspire technical teams. • Ability to travel up to 15% domestically. Preferred Qualifications • Experience in Medicaid, Medicare, or commercial payer payment accuracy or cost containment programs. • Background with analytical platforms such as Databricks, Python, R, SQL, Snowflake, Azure, or AWS. • Experience integrating analytics into operational systems and customer reporting. • Familiarity with regulatory requirements for healthcare data, privacy, and model governance. Why Join Gainwell Technologies? As VP of Analytics Life Cycle Management, you will shape the analytical engines powering impactful cost containment solutions. You will lead teams that develop and optimize analytics essential to improving healthcare outcomes, strengthening program integrity, and delivering value to taxpayers and payer clients nationwide—all while partnering with a mission-driven organization focused on innovation and excellence. The pay range for this position is $192,000.00 - $274,300.00 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

Review and process Medicaid provider enrollment applications, renewals, and maintenance requests according to USVI Medicaid guidelines and federal requirements. | High school diploma or equivalent, 1-2+ years healthcare enrollment or credentialing experience, proficiency in English, ability to follow policies and procedures, and good communication and organizational skills. | 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. You'll 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 Provider Enrollment Specialists are responsible for supporting provider enrollment, maintenance, and renewal activities for the USVI Medicaid program. Primary responsibilities include reviewing and processing Medicaid provider enrollment applications, renewals, and maintenance requests according to USVI Medicaid approved guidelines, ACA, and other federal requirements and procedures. Your role in our mission • Healthcare enrollment or credentialing experience desired • Ability to follow written policies, operating and maintenance instructions, procedure manuals, and government/healthcare guidelines. • Self-motivated with good time management and organizational skills. • Excellent written and verbal communication skills. • Ability to perform extensive research independently. What we're looking for • High School Diploma or equivalent • Able to read, write and speak English proficiently • Fluency in both English and Spanish is preferred but not required • 1-2+ years of working experience in healthcare, enrollment, credentialing, or related fields. What you should expect in this role • Remote work environment • Monday through Friday 8:00am to 5:00pm EST #LI-REMOTE #LI-CB1 The pay range for this position is $33,500.00 - $47,900.00 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. You'll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Lead and manage the SPBM call center team to meet SLA targets, ensure accurate inquiry resolution, maintain compliance, and drive continuous improvement through collaboration and reporting. | Requires prior call center leadership experience, preferably in managed care, insurance, or PBM; strong communication skills; and a BA/BS preferred but not mandatory. | Gainwell Technologies is seeking a Senior Manager, Customer Support to lead operations for our Single Pharmacy Benefit Manager (SPBM) Call Center, serving the Ohio Department of Medicaid. In this role, you will provide strategic and operational leadership to ensure timely and accurate resolution of inquiries from members, prescribers, pharmacies, and Managed Care Plans. You’ll oversee call center metrics, drive service-level agreements (SLAs), and foster a culture of excellence, compliance, and continuous employee development. Your Role in our Mission: • Lead the SPBM call center team with effective hiring, onboarding, training, coaching, and recognition programs. • Manage real-time performance and resource allocation to consistently meet and exceed SLA requirements. • Ensure inquiries from members, providers, and partners are accurately researched, documented, and resolved on time. • Maintain and update policies, procedures, and work instructions in compliance with state requirements. • Partner with Quality Assurance (QA) and Quality Improvement (QI) teams to identify trends and drive continuous improvement. • Develop and deliver reporting to leadership and client stakeholders that highlights performance, challenges, and opportunities. What we're looking for: • Bachelor’s degree in Business, Healthcare, Insurance, or related field preferred (or equivalent work experience). • Must-Haves: Previous call center experience and proven leadership experience are required; pharmacy or PBM experience strongly preferred. • 1–2 years of managed care, insurance, or PBM call center leadership experience. • Demonstrated ability to manage supervisors and staff to meet productivity and performance goals. • Experience with Medicaid programs, SPBM UPDL criteria, and/or prior authorization decisioning is a plus. • Strong communication and collaboration skills, with the ability to work across teams and with external clients. What you should expect in this role: • Remote position aligned to Eastern Standard Time (EST) operations: 8:00 AM – 5:00 PM. • Reliable home internet required: minimum 24 Mbps download / 8 Mbps upload (higher speeds strongly recommended). • Business travel required, including monthly and quarterly trips to the Dublin, Ohio office. • Regular meetings with state representatives to review compliance, updates, and performance metrics. • Fast-paced environment requiring flexibility, accountability, and a strong customer service mindset. • Opportunities to collaborate with cross-functional teams to drive best practices and innovation in customer support. 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Lead and manage a data mining team focused on healthcare payment integrity, overseeing the full data mining lifecycle and collaborating cross-functionally to drive audit concept validation and deployment. | Bachelor's degree with 10+ years in healthcare payment integrity data mining, 5+ years leadership experience, strong knowledge of healthcare claims and coding, proficiency in SQL and reporting tools, and experience with AI/ML. | 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. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll 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 We are seeking a strategic and experienced leader for the role of Senior Director, Data Mining, responsible for overseeing ideation and validation of healthcare payment integrity data mining. This leader will manage a high-performing team to identify, test, and validate concepts that detect improper healthcare payments. The ideal candidate brings deep healthcare analytics expertise and a proven ability to lead teams, drive measurable results, and collaborate cross-functionally in a dynamic environment. Your Role in Our Mission • Provide strategic direction and day-to-day leadership for the data mining team focused on uncovering and confirming data-driven audit opportunities. • Oversee the full data mining lifecycle from opportunity identification and concept design through validation, deployment, and post-audit analysis. • Apply knowledge of provider billing practices, claim adjudication processes, and regulatory requirements to guide development of actionable audit concepts. • Establish and track performance metrics to ensure teams meet productivity, quality, and financial objectives. • Collaborate with IT, Product and Client Services teams to refine, test, and operationalize audit concepts. • Lead documentation, knowledge sharing, and root cause analysis to inform ongoing audit development and provider education. • Mentor and develop managers and analysts to support succession planning and skill development across the team. • Represent the function in client meetings and executive-level discussions to articulate value, methodology, and results. What We're Looking For • Bachelor's degree required (Healthcare Administration, Data Science, Business, or related). • Minimum of 10 years of experience in healthcare payment integrity data mining with at least 5 years in a leadership role. • Strong understanding of healthcare claims data, coding systems (ICD, CPT, DRG), and payment methodologies. • Demonstrated success in managing ideation and validation processes that produce measurable financial returns. • Skilled in SQL, Excel, and visualization/reporting tools; experience with SAS, Python, or similar tools preferred. • Excellent communication and presentation skills; ability to influence cross-functional stakeholders and executives. • Experience working in or with payer or provider organizations, government healthcare programs, or audit vendors. • Experience integrating AI/ML into data mining operations. What You Should Expect in This Role • Home-based position with flexibility to work from anywhere in the continental US. • Must have a dedicated workspace and high-speed internet connection suitable for remote collaboration. • Requires availability during standard business hours for meetings and team interaction. • Occasional travel (up to 10%) for in-person team meetings or client presentations may be required. • This role may involve extended hours during high-priority initiatives or client deadlines. The deadline to submit applications for this posting is September 22, 2025. The pay range for this position is $137,100.00 - $195,800.00 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. You'll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Analyze and translate healthcare case and care management policies into detailed functional and technical specifications, facilitate design sessions, support testing and training, and communicate with stakeholders. | 10+ years as a Business Analyst including 3+ years Medicaid experience, strong client communication, leadership, proficiency in RTM, ALM, Excel, Word, PowerPoint, and preferred healthcare case management and testing experience. | Description: • Analyze, research and understand new Case and Care Management Policies provided to Gainwell by our Customer • Generate business and/or data specifications in support of evidence requirements for each component • Apply knowledge of CMS policies and regulatory requirements associated with Case and Care Management and Population Health Management when partnering with our Customer to develop functional requirements for system changes • Facilitate design sessions with our Customer, our developers and third-party vendors, and generate design specification documents • Enter approved requirements into ALM • Partner with development team and clarify requirements as needed • Partner with test team and support generation of user stories/test scenarios and supporting test cases, for system testing, system integration testing and end-to-end testing • Help verify that all requirements have been met by running ALM requirements traceability (RTM) reports • Help develop test scenarios and cases as needed for Model Office and End-to-End Testing, including building necessary data sets • Support development of user training collateral designed to support Policy and functional requirements and participate in end-user training activities as needed • Support UAT activities performed by our Customer and participate in end-to-end functional testing as needed • Communicate with the Customer and project team, measuring and sharing project metrics/status, identifying and documenting risks, and recommend changes as needed • Assist with Operational Readiness activities including any operational change management activities • Serve as the subject matter expert for end-to-end work and data flow for the Care and Case Management application ecosystem • Virtual work with video presence required in meetings; opportunities to travel 0-10% • Build strong working relationships with the Gainwell team and Client stakeholders Requirements: • 10+ years of experience in a relevant Business Analyst position, including 3+ years of Medicaid experience • Demonstrated ability to interpret high level requirements and translate them into detailed functional and technical specifications • Strong client communication skills, including the ability to translate customer requests into actionable objectives • Polished executive presence and communication skills to deliver messages to business leaders, clients and technical personnel • Leadership to train, guide and mentor the work of junior colleagues • Proficient in requirements traceability management (RTM) and technical writing • Advanced Excel capabilities, including pivot tables, and proficiency in Word, PowerPoint, ALM, and AI tools • Preferred: 3+ years of experience supporting or working within Healthcare Case Management • Preferred: Experience generating test scenarios and building/executing test cases • Preferred: Proficiency in Visio PowerBI Benefits: • generous, flexible vacation policy • educational assistance • comprehensive leadership and technical development academies • 401(k) employer match • comprehensive health benefits

Design, develop, customize, test, document, support and maintain websites built on .NET framework, support AWS hosting, write tests, deploy customizations, and perform systems integration. | 3+ years of experience in .NET C#, NetCore, JavaScript, SQL Server, Azure DevOps, AWS Cloud computing, with preferred skills in Power Automate, DevOps, and compliance. | 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. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll 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 Web Developer (Hybrid role in Sacramento/Rosefille, 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 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. Your role in our mission • Design, develop, customize, test, document, support and maintain Web sites build on .NET framework according to business needs • Work with business users to gather requirements and understand business processes • Support the hosting of the website in AWS cloud environment both in Windows and Linux OS • Write unit tests and integration tests for customizationS • Deploy customizations to test and production environments and familiarity on SQL and MySQL data bases. • Develop Power Automate to support backend and ETL jobs • Perform systems integration in AWS Cloud services environment What we're looking for • 3+ years of Web development and programming experience using .NET C#, NetCore, JavaScript, Razor Pages, WebAPI.NET, REST, SOAP API's, SQL Server and Azure DevOps AWS Cloud computing • Preferred but not required: • developing Power Automate to support backend and ETL jobs • systems integration in AWS Cloud services environment • DevOps and continuous integration • Compliance (ADA, 508 and WCAG) What you should expect in this role • HYBRID ROLE: Must lives near the Roseville/Sacaramento, CA area to be able to commute and work onsite in the office 3 days per week for face-to-face and client meetings with the ability to work from home (telcommute) when not required to be onsite. • Willingness to work a flexible schedule to accommodate business needs and travel as required • Video cameras must be used during all interviews, as well as during the initial week of orientation #LI-SH1 #LI-REMOTE The deadline to submit applications for this posting is September 29, 2025 The pay range for this position is $60,000 - $80,000 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. You'll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Design, develop, customize, test, document, support, and maintain websites built on .NET framework with AWS hosting and integration. | Associate level experience with .NET development, AWS cloud services, SQL databases, and willingness to work hybrid onsite schedule. | Overview As a Web Developer (Hybrid Role in Sacramento/Roseville, 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 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. Your role in our mission Design, develop, customize, test, document, support and maintain Web sites build on .NET framework according to business needs Work with business users to gather requirements and understand business processes Support the hosting of the website in AWS cloud environment both in Windows and Linux OS Write unit tests and integration tests for customizations Deploy customizations to test and production environments and familiarity on SQL and MySQL data bases. Develop Power Automate to support backend and ETL jobs Perform systems integration in AWS Cloud services environment What we're looking for Preferred but not required: Developing Power Automate to support backend and ETL jobs Systems integration in AWS Cloud services environment DevOps and continuous integration Compliance (ADA, 508 and WCAG) What you should expect in this role HYBRID ROLE: Must live near the Roseville/Sacramento, CA area to be able to commute and work onsite in the office 3 days per week for face-to-face and client meetings with the ability to work from home (telecommute) when not required to be onsite. Willingness to work a flexible schedule to accommodate business needs and travel as required Video cameras must be used during all interviews, as well as during the initial week of orientation Seniority level Associate Employment type Full-time Job function Information Technology Industries IT Services and IT Consulting Compensation Base pay range: $60,000.00/yr - $80,000.00/yr #J-18808-Ljbffr

Lead and manage complex, high-impact projects including planning, budgeting, staffing, risk mitigation, and client communication to ensure successful delivery and client satisfaction. | Requires 12+ years of project management experience, strong organizational and communication skills, experience with project methodologies and tools, and ability to manage client and team expectations. | 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. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll 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 Project Management, Principal 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. Your role in our mission Essential Job Functions • Creates and implements complex project definitions, schedules, budgets, and objectives for a large sized or multiple projects of high complexity. • Determines need for and impact of changes in scope of project and makes and implements recommendations based on determinations. • Gains concurrence, approval, and consensus from stakeholders regarding the various project aspects, adjusts accordingly. Identifies appropriate resources and staffs projects. • Organizes project team(s) members to ensure communication and understanding of deadlines, assignments and objectives. • Acts as the point of contact with client project management. • Identifies, when and as appropriate, staffing changes or needs as project progresses. Manages costs, schedules and quality by overseeing project deliverables. • Ensures schedule and budget are met. • Identifies need for change, determines course of action and revises as appropriate. May act outside of established policies as necessary. Oversees the ongoing review of project(s) status; identifies risks. Develops, recommends and implements risk mitigation solutions and implements as appropriate. Works in conjunctions with team members and stakeholders to anticipate and manage changes to projects, such as but not limited to, technical requirements, business requirements and schedule. Determines when additional resources are needed and implements same. Identifies or gathers information regarding possible solutions that may create additional, different or unique project objectives or results. Manages client project management, company management and project team expectations for agreed upon project performance by obtaining and providing project metrics. Identifies, recommends and implements changes or alternate paths based upon performance and metrics. Develops and makes presentations that could lead to expanded business opportunities. Participates in proposal efforts and sales calls to enhance opportunities for future business deals with client. Manages client expectations and balances the needs of company and client to ensure satisfaction for relevant parties. Oversees assigned personnel for projects. Assigns work and provides direction with regard to timeliness and completion of project objectives. Addresses performance issues within prescribed guidelines. Provides performance input upon completion of project. What We're Looking For • Bachelor's degree or equivalent combination of education and experience / Bachelor's degree in business administration, information technology, engineering or related field preferred • Twelve or more years of project planning/management experience • Experience working with project management methodology such as Catalyst including budget development, project planning, control and assurance methodologies, project management software and finance and accounting concepts and practices • Experience working with productivity and methodology tools that increase project efficiency and effectiveness • Experience working with administrative processes • Experience working with client vision, business objectives, and critical success factors • Experience working with delivery assurance principles and appropriate procedures relevant to area • Experience working with techniques and approaches related to the architecture, development, integration, and deployment of project phases • Strong organizational skills • Strong creative, analytical and problem solving skills Strong interpersonal and presentation skills for interacting with team members and clients • Strong communication skills Skilled in estimating and common project manageme What You Should Expect In This Role • Opportunities to travel through your work (0-10%) • Video cameras must be used during all interviews, as well as during the initial week of orientation • The deadline to submit applications for this posting is 11/30/2025 The pay range for this position is $108,500.00 - $155,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Lead and manage the Business Analysis function and advisor teams on a Medicaid account, ensuring standards, mentoring staff, and liaising with stakeholders. | 8+ years as a Business Analyst with 3+ years leadership, Medicaid and healthcare IT experience, knowledge of MMIS, SDLC, and a relevant bachelor's degree or equivalent. | Description: • Summary As a Business Analysis & Advisors Manager at Gainwell, you will lead the development and management of the Business Analysis function and advisor roles on a state Medicaid account. • This role is central to building and sustaining a Business Analysis Center of Excellence (BA CoE) that ensures consistent standards, clear expectations, and continuous improvement across all projects. • You will manage a team of BAs and advisors, set direction for best practices, and partner closely with account, operations, systems and PMO managers as well as delivery leaders, project managers, and DHS stakeholders to ensure BA deliverables meet the highest standards of clarity, consistency, and value. • Your role in our mission Provide leadership and direction for the BA and advisor teams, ensuring consistent delivery of requirements, change orders, and other critical BA deliverables. • Establish, maintain, and evolve BA standards, templates, and work patterns through the BA CoE; ensure adoption and accountability across the account. • Serve as a key liaison to DHS and internal stakeholders for BA-related issues, ensuring clear, transparent communication and alignment with client expectations. • Provide coaching, mentoring, and growth opportunities for BAs and advisors, building a team culture focused on accountability, collaboration, and professional development. • Monitor and report on BA performance, utilization, and deliverable quality, driving continuous improvement initiatives. • Facilitate knowledge transfer, training, and onboarding to ensure all BAs and advisors are equipped to succeed in their roles. • Lead BA team meetings, advisor forums, and 1:1 development conversations with staff. • Contribute to Gainwell-wide operational initiatives, ensuring BA team compliance and participation. Requirements: • Eight (8) or more years of experience as a Business Analyst, with at least 3 years in a people leadership, supervisor, or management role • Experience in Medicaid and/or healthcare IT delivery • Medicaid Management Information Systems (MMIS) and healthcare IT delivery • Demonstrated success in building or leading a Business Analysis team or similar standards/governance initiative • Proven ability to mentor and develop staff, including advisors, senior analysts, and junior analysts • Strong understanding of SDLC/PLC methodologies, with experience tailoring BA involvement across project phases • Experience working with clients and stakeholders at all levels, translating business needs into actionable requirements and deliverables • Bachelor’s degree in Business Administration, Information Systems, or related field (or equivalent experience) Benefits: • Health (medical, dental, vision) benefits start on day 1 of employment • Company match 401K and other benefits available within months of starting • New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment • Company provided computer for work use • Comprehensive health benefits, including medical, dental, and vision • Educational assistance • Leadership and technical development academies to build skills and capabilities

Provide enrollment assistance and program information via phone, verify and document healthcare coverage, perform data entry and reporting, and maintain active cases during enrollment periods. | Minimum 2 years experience in insurance, healthcare, or government sponsored programs with phone inquiry experience, knowledge of HIPAA, strong communication and customer service skills, and ability to work onsite in Montgomery, Alabama. | 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. You’ll 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 HMS makes the healthcare system work better for everyone. We fight fraud, waste, and abuse so people have access to healthcare—now and in the future. Using innovative technology and powerful data analytics, we help government and commercial payers reduce costs, increase. quality, and achieve regulatory compliance. We also help consumers take a more active role in their own health. Each year, we save our clients billions of dollars while helping people live. healthier lives. At HMS, you will develop new skills and build your career in a dynamic industry. while making a difference in the lives of others. We are seeking a talented individual for an Eligibility Operations Advisor I who is responsible for verifying, documenting and coordinating information needed to process applications and other Eligibility Operations assignments. Conducts health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing. Your Role in Our Mission • Provide enrollment assistance and HIPP/Premium Assistance program information over the phone to Medicaid eligible recipients and their family members. • Verify, document and investigate the presence of health care coverage for Medicaid recipients and their families. • Assist in the identification of members that may qualify for the HIPP/Premium Assistance program. • Complete periodic reports. • Customer service to include high volume of phone work answering questions and other inquiries regarding the HIPP/Premium Assistance program. • Data entry to include accurate and timely entry of information. • Obtain and/or verify all items related to eligibility and enrollment into the HIPP/Premium Assistance program. • Complete maintenance of active cases during open enrollment and premium review for check processing to assist with maintaining the revenue and program growth. What We're Looking For • Ability to organize well. • Strong Customer Service Skills • Strong Communication Skills • Ability to provide and represent professionalism in job. • Ability to practice flexibility and adaptability in the workplace. • Ability to work with Microsoft Word and Excel and navigate internet skillfully. • Ability to analyze information and use logic and process to address work-related issues and problems. • Ability to operate with strong interpersonal skills. • Ability to be careful and thorough about detail. • Ability to perform data entry accurately. • Average manual dexterity in use of a PC, phone, 10 key, sorting, filing and other office machines. • Ability to handle conflict appropriately and constructively. • Working knowledge of HIPAA privacy and Security rules. • Ability to perform well in team environment. • Ability to meet deadlines. • Ability to handle pressure and deadline-oriented project demands. • Min. 2 year of experience in insurance industry, health care or government sponsored. • math related experience. • Min. 2-year experience working on the phone making inquiries (outbound) and answering calls (inbound). • MassHealth Experience Preferred • Call Center Experience Preferred • Human Resources or Health Insurance Experience preferred. • Bilingual Preferred • Knowledge of health care terminology is a plus. What Should You Expect In This Role • Onsite in Montgomery, Alabama • Onsite The pay range for this position is $24,700.00 - $35,300.00 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Lead strategic and operational execution of MMIS modernization product roadmap, collaborate with sales and delivery teams, manage product backlog, and drive continuous improvement. | Master's degree, 10+ years product management and supervisory experience, knowledge of MMIS and modular MES architecture, and AI governance experience. | 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. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll 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 The Product Development Director for the Interchange & Legacy systems will report to VP of Product Management, and will lead the strategic and operational execution of MMIS modernization and delivery efforts across the Interchange and legacy platforms. This role requires deep collaboration with Sales, Account General Managers (AGMs), Delivery, and Engineering teams to define and drive the product roadmap, prioritize the backlog, ensure seamless product support and continuous process improvement. Your role in our mission • Define and evolve the product vision and roadmap for the Interchange and legacy systems in alignment with MMIS modernization goals. • Collaborate with AGMs and Sales to incorporate client feedback, market trends, and competitive insights into roadmap planning. • Conduct product innovation forums to share thought leadership and collect client feedback and own the product backlog and facilitate prioritization sessions with Delivery and Engineering teams. • Ensure backlog items are clearly defined, estimated, and aligned with business value and delivery capacity. • Partner with Delivery leadership to track execution, resolve blockers, and ensure timely releases. • Act as the primary liaison between Product, Sales, AGMs, and Delivery teams to ensure transparency and alignment. • Facilitate regular touchpoints and working sessions to synchronize efforts across teams. • Oversee product support processes, including escalation management, issue triage, and resolution tracking. • Drive continuous improvement initiatives across product operations, leveraging feedback loops and performance metrics. • Identify and implement process enhancements to improve product lifecycle efficiency, demo capabilities, and stakeholder engagement. • Champion automation and standardization efforts across product demo environments and delivery workflows. • Identify, evaluate, and prioritize AI use cases that align with product goals and Gainwell’s ethical AI standards. • Collaborate with the AI Governance Committee to document use cases, assess risks, and secure approvals using Gainwell’s standardized templates. What We're Looking For • Master's degree or equivalent combination of education and experience desired. • 10+ years of experience in product management, preferably in healthcare or enterprise systems. • 10+ years in a supervisory or management capacity included Experience with the product development life cycle at all levels of complexity • Experience working with client enterprise products, services, and strategies, technical products, vendors, families of technologies and product configurations • Proven track record of leading cross-functional teams and delivering complex products. • Strong understanding of MITA, Medicaid Management Information Systems (MMIS) and modular MES architecture. • Experience with AI use case evaluation and implementation, including risk assessment and governance. What You Should Expect In This Role • This opportunity is 100% remote within the continental United States with opportunity to travel through work up to 15% annually. The deadline to submit applications for this posting is September 5, 2025. The pay range for this position is $137,100.00 - $195,800.00 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Supervise the service desk to ensure timely resolution of provider inquiries and maintain quality and inventory management in Medicaid systems. | Experience with Medicaid, healthcare inventory management, leadership skills, and ability to analyze and improve operational processes. | 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. You’ll 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 position is responsible for the goals defined above and will report directly to the Account Delivery Manager (ADM). The Service Desk Supervisor will be responsible for meeting contractual requirements, inventory management and quality. They will be responsible for ensuring that business units document, track and maintain all customer inquiries in the Medicaid Management Information System. Your role in our mission This position is responsible for: • Resolve issues and answer questions submitted by providers in a complete and timely manner. • Provide transparent, data-driven leadership on the items submitted to the Service Desk. • Ensure all appropriate timelines are met and that staff (both internally to the Service Desk and otherwise) is abiding by that expectation. • Provide meaningful analysis of items worked by the Service Desk (and supporting business areas) to inform operational improvement opportunities and engage in continuous quality improvement. What We're Looking For This position will work with each business unit listed below to ensure issues are being resolved appropriately and in a timely manner. • Third-Party Liability (TPL) • Provider Relations (PR) • Provider Enrollment (PE) • Finance • Claims • Electronic Data Interchange (EDI) Experience with Medicaid and prior healthcare inventory management is preferred. What You Should Expect In This Role The pay range for this position is $50,600.00 - $72,300.00 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Lead and coach contact center agents, manage scheduling and meetings, maintain business processes, respond to inquiries, and support onboarding/offboarding activities. | Four or more years of call center experience, proficiency with Microsoft Office Suite, strong interpersonal and organizational skills, and ability to work independently in a remote environment. | 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. You’ll 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 Contact Center Team Lead 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. Your role in our mission • Performs coaching and training for the contact center team. • Schedules meetings with Agents and Leadership and attends Client or internal meetings, drafts and publishes meeting minutes/notes from audio and/or video recordings. • Assists with developing and maintaining business processes for the contact center; onboarding/offboarding activities, time tracking, maintains spreadsheets and monitoring day to day activities. • Researches and responds to inquiries for the contact center agents; escalates and/or routes inquiries to appropriate personnel as necessary. Other duties as assigned. What We're Looking For • Four or more years of call center experience. • Experience working with Microsoft Office Suite tools such as Excel, Teams, Outlook and Word. • A welcoming, positive disposition. • Good office equipment, computer and business solutions software skills. • Excellent interpersonal skills for communicating (oral and written) with internal and external personnel of all levels. What You Should Expect In This Role • Good organization skills to balance work and prioritize tasks. • Ability to work independently with minimal supervision and solid multi-tasking skills. • Remote work environment between the hours of 8am - 5pm PST. The pay range for this position is $47,000.00 - $67,200.00 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. You’ll 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 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.