Gainwell Technologies

Handle incoming and outgoing customer calls, provide accurate information, and perform clerical duties. | High school diploma or G.E.D., two or more years of call center/customer service experience, proficiency in Microsoft Outlook and Excel, and availability during core hours. | 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 Customer Service Representative is responsible for handling incoming calls on behalf of the client and providing accurate, timely, and professional information to callers. This role ensures a high level of customer satisfaction while maintaining compliance with established service standards. Your role in our mission • Answer incoming calls on behalf of the client, delivering accurate and courteous assistance to all callers. • Place outbound customer service and customer satisfaction calls as required by the client. • Follow call guides and scripts while gathering and verifying required information. • Participate in required training for telephone skills and program knowledge. • Adhere to established service level expectations, quality standards, and documentation requirements within designated timeframes. • Comply with contact center scheduling and ensure consistent telephone coverage during hours of operation. • Perform clerical and administrative duties as assigned. What We're Looking For • High school diploma or G.E.D. required. • Two (2) or more years of call center / customer service experience. • Proficient in Microsoft Outlook and Excel. • Candidates located in the Eastern or Central Time Zones are strongly preferred to support operational alignment. What You Should Expect In This Role • This is a fully remote position with a standard Monday through Friday work schedule. • The role requires availability to support core business hours of 5:00 AM to 5:00 PM PST. • Harver Assessment Requirement: As part of our interview process, all candidates must complete the Harver Assessment. This assessment helps us evaluate key competencies relevant to the role, including communication skills, multitasking abilities, and problem-solving capabilities. • Video cameras must be used during all interviews, as well as during the initial week of orientation. • To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance. • To test your internet speed, go to Google and search for “Internet Speed Test.” The deadline to submit applications for this posting is December 17, 2025. 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 product and operational strategies for payment integrity and verification solutions, managing revenue, budgets, team performance, and cross-functional partnerships to drive growth and client satisfaction. | Bachelor's degree required, master's preferred; 15+ years of progressive product, finance, and operational leadership experience in healthcare, with strong Medicaid and payment integrity expertise. | 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 VP, Payment Integrity and Verification Solutions is responsible for developing high quality business strategies and operational plans ensuring alignment with Gainwell short-term and long-term objectives for the solution offering. Partnering with product management, and leading delivery operations and business activities to ensure they produce the desired results and are consistent with the overall product line goals driving revenue growth, margin expansion and client satisfaction. The VP should be able to lead and motivate team members to advance employee engagement, develop a high performing managerial team along with partnering cross functionally with broader organization such as Finance, Account Management, Sales and Engineering. Your role in our mission • Payment Analytics, FraudCapture, Credit Balance, Long Term Care, and Verification Solutions (dependent eligibility, residency verification, and community engagement verification). • Partner with product organization on product development strategy and leading delivery execution within PI and verification solutions portfolios. • Partner with product organization to ensure appropriate product roadmap and collateral documentation is available supporting PI and verification solutions products and communicating product strategy to the organization. • Co-Develops appropriate business cases with product organization to obtain funding necessary for new product development. • Responsible for developing, managing and attaining revenue and expense budget goals. • Manages overall product portfolio integration to the recurring revenue budgeting and forecasting process. • Responsible for systems that identify and mitigate opportunities/risks to the PI and verification solutions revenue portfolio. • Advanced financial analysis and forecasting techniques to project and optimize revenue. • Tracking of opportunities for product expansion and measures product yield in support of annual product revenue expansion targets. • Lead operations team on demand and capacity planning, and assuring compliance with client SLAs and contract requirements. • Oversee reviews of RFPs and new business proposals to assure they meet appropriate guidelines for strategic fit as well as implementation, operational and financial success. • Improves product quality through a structured process of defect identification, root cause analysis, and corrective action project management. • Improves internal product and operational processes through deployment of Lean or other continuous quality improvement methodologies and principles. • Partner with implementation team accountable for solution architecture and project management of new implementations. • Participates with Solution Area Leader in communicating product strategy, financial results, operational status and quality/compliance issues to company leadership. • Leads PI and verification product teams by developing an environment of engagement and participation by all team members through regular communication and recognition. • Directs development and training of leadership skills within the team to assist team members in increasing their skill sets, developing bench strength and appropriate success plans. What We're Looking For • Bachelor’s degree in business field is required. Master's degree in business or related field is preferred • At least fifteen years of gradually increasing product, finance and/or operational leadership experience • Experience working within the healthcare industry required, experience with Medicaid, payment integrity and verification solutions strongly preferred What You Should Expect In This Role • This opportunity is 100% remote with the opportunity to travel up to 25% annually. The deadline to submit applications for this posting is December 12, 2025. The pay range for this position is $160,000.00 - $228,600.00 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.

Support PMO processes, track project performance, prepare reports, conduct audits, and guide project teams on standards. | Bachelor's degree, 3-5 years PMO experience, strong analytical and reporting skills, proficiency in MS Project and Excel, and preferably a project management certification. | 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 detail-oriented and proactive Senior PMO Analyst to join our Project Management Office (PMO). The successful candidate will support the implementation of project lifecycle standards, assist with governance activities, track performance, and provide data-driven insights to improve delivery outcomes. This role requires strong analytical skills, effective communication, and the ability to collaborate with diverse stakeholders. Your role in our mission • Support continuous improvement by assisting in the development and refinement of project management processes, tools, and templates. • Assist with risk identification, escalation, and resolution tracking. • Prepare and distribute project-level and portfolio-level reports based on status updates and performance metrics. • Collect and analyze project data to identify trends and support decision-making. • Conduct basic phase gate audits to ensure documentation accuracy. • Provide guidance to project teams on standard PMO processes and tools. • Monitor resource allocation and escalate potential conflicts. • Ensure compliance with company, account, and PMO standards. • Act as a resource for project management best practices and tools. What We're Looking For Basic Qualifications: • Bachelor’s degree in Business Administration, Project Management, or related field. • 3–5 years of experience in a PMO or project management support role. • Strong analytical and reporting skills. • Proficiency in MS Project/Online and Excel (pivot tables, data analysis). • Familiarity with visualization tools like Power BI is a plus. Other Qualifications: • Certification in project management (CAPM or equivalent preferred). • Strong communication and collaboration skills. What You Should Expect In This Role • Remote position (US only) • 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 3/30/2026 The pay range for this position is $69,400.00 - $99,200.00 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.

Lead and oversee multiple project teams, manage project planning, tracking, budgeting, and communicate project status to stakeholders ensuring timely completion. | 9+ years managing complex projects with 3+ years Medicaid/Medicare experience preferred, PMP or Catalyst methodology expertise, budget control skills, leadership, and strong communication abilities. | 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 an Call Center Project Manager 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 • Assist in keeping projects moving as Gainwell helps clients deliver better health and human services outcomes through technology and innovation. • Lead one or more large project management teams by breaking down bigger technological programs and assisting with project staffing • Spearhead project planning, tracking and oversight of assigned staff by providing direction and deadlines to ensure quality and timely completion of tasks • Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program changes as needed • Create project schedules, program definitions, budgets and objectives to ensure the quality of project deliverables across all phases • Actively project manage across non-direct reports by quickly escalating any risks and implementing risk mitigation solutions What we're looking for • 9+ years of experience managing complex projects, programs or initiatives through a full project management life cycle, with 3 or more years of Medicaid or Medicare experience preferred • Expertise with project management methodology such as Catalyst or Certified Project Management Professional (PMP) • Modern understanding of budget development, control and assurance methods, and project management software • Ability to lead and translate the broader objectives of a program into clear and achievable project scope and milestones that can be worked toward • Leadership to train, guide and mentor the work of junior colleagues • A strong executive presenter who communicates ideas clearly • Influencer that who can clearly communicate project priorities and motivate direct and indirect networks and stakeholders to action What you should expect in this role • Remote position (US only) • 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 12/30/2025 The pay range for this position is $86,800.00 - $124,000.00 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.

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 multi-stakeholder programs ensuring quality, budget, and timeline standards through project planning, risk management, and cross-team coordination. | 5+ years project management, 2+ years pharmacy/PBM experience, proficiency in project management methodologies, Microsoft Office, SQL, Tableau, Power BI, and quality management standards. | Description: • Lead complex, multi-stakeholder programs • Oversee project planning, documentation, risk management, and client communications • Ensure deliverables meet quality, budget, and timeline standards • Coordinate across teams and executives Requirements: • 5+ years of project management experience • 2+ years in pharmacy or pharmacy benefit management (PBM) • Proficiency in project management methodologies and assurance practices • Strong skills in project planning, control, and resource management • Knowledge of finance and accounting concepts related to project delivery • Proficient in Microsoft Office Suite (PowerPoint, Word, Excel, Access) • Experience with SQL queries, Tableau, and Power BI • Familiarity with quality management and delivery assurance standards • Experience with productivity tools that improve project efficiency and effectiveness Benefits: • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies

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

Design and deliver Care & Case Management solutions, generate and manage business/data specifications, support testing and training, and communicate project status while serving as SME. | 5+ years Business Analyst experience with 3+ years in Medicaid and multi-vendor environments, strong client communication, leadership, RTM and testing skills, CMS policy knowledge, advanced Excel, and preferred SQL and Visio skills. | Description: • Contribute to designing and delivering solutions for Care & Case Management to improve member health outcomes • Understand new Case and Care Management policies and generate business/data specifications to meet evidence requirements • Apply CMS policy and regulatory knowledge when developing functional requirements • Facilitate design sessions with customers, developers, and third-party vendors and generate design specification documents • Enter approved requirements into ALM and maintain RTM; run ALM RTM reports to verify requirements • Partner with development and test teams; support generation of user stories, test scenarios, and test data for system integration and end-to-end testing • Develop test scenarios and data for Model Office and End-to-End Testing • Support UAT and participate in end-to-end functional testing • Support development of user training collateral and participate in end-user training • Communicate project metrics/status, identify and document risks, and assist with operational readiness and change management • Serve as SME for end-to-end work and data flow for the Care and Case Management application ecosystem • Build strong working relationships with Gainwell team and client stakeholders Requirements: • 5+ years of experience as a Business Analyst, including 3+ years in Medicaid programs and 3+ years in multi-vendor environments • Proven ability to interpret high-level requirements and translate into detailed functional and technical specifications • Strong client communication and presentation skills • Leadership experience mentoring and guiding junior colleagues • Hands-on experience with requirements traceability management (RTM), test scenario creation, and test case execution • Advanced proficiency in Excel (including pivot tables); working knowledge of Word, PowerPoint, ALM, and AI tools • Strong technical writing skills • Knowledge of CMS policies and regulatory requirements associated with Case and Care Management • Preferred: 2+ years supporting Healthcare Case Management • Preferred: Experience writing/executing SQL queries • Preferred: Proficiency in Visio Benefits: • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Work flexibility, learning, and career development

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.