Gainwell Technologies LLC

Deliver engaging virtual training sessions, collaborate with SMEs, and assess training outcomes to enhance call center employee skills. | At least 2 years of training or facilitation experience, strong presentation skills, curriculum development skills, and experience with adult learning. | 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 We’re seeking a highly skilled Trainer who thrives both independently and in collaborative environments. The ideal candidate is a proactive self-starter, motivated by a passion for empowering teams and driving collective success. As part of the Learning, Development and Innovation team, our vision is to be the benchmark for transformative learning experiences.  Our mission is to unify and empower customer experience account teams by providing innovative, consistent and impactful learning solutions that enhance skills and knowledge, fostering exceptional customer experiences for those they serve.  Join us in helping Gainwell serve Medicaid members and providers by creating and delivering industry leading learning initiatives.Your role in our mission Deliver engaging and interactive training sessions to new and existing call center agents.  Facilitate virtual training programs to enhance employee skills and performance.  Adapt training delivery to various learning styles and needs.  Collaborate with training team and SMEs to ensure training materials are effective and user-friendly.  Provide post-training support and resources to learners and call center leadership.  Assess training outcomes through surveys, feedback, and performance metrics.  What we're looking for 2+ years of experience as a trainer or facilitator. Passion for training and desire to facilitate in a virtual classroom environment. Strong presentation and interpersonal skills. Experience with adult learning principles and learner engagement techniques. Demonstrable curriculum development skills. What you should expect in this role This is a full-time permanent regular salaried (W-2) employee position. Monday through Friday work schedule (40 hours per week). Upward career advancement is possible and encouraged. 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. Any exception requires manager approval prior to employee's Gainwell start date. Company provided computer for work use. For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance. Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. When applying you will required to enter a link to your profile of work or portfolio. This position will remain posted until February 23, 2026.   #LI-NB1 #LI-REMOTE  The pay range for this position is $51,700.00 - $73,800.00 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. 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.

Design, develop, and deliver engaging training sessions, facilitate virtual programs, and assess training outcomes. | Minimum 5+ years of corporate training experience, curriculum development for live instruction, and proficiency with instructional design methodologies and software. | 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 We’re seeking a highly skilled Trainer who thrives both independently and in collaborative environments. The ideal candidate is a proactive self-starter, motivated by a passion for empowering teams and driving collective success. As part of the Learning, Development and Innovation team, our vision is to be the benchmark for transformative learning experiences.  Our mission is to unify and empower customer experience account teams by providing innovative, consistent and impactful learning solutions that enhance skills and knowledge, fostering exceptional customer experiences for those they serve.  Join us in helping Gainwell serve Medicaid members and providers by creating and delivering industry leading learning initiatives.Your role in our mission Design, develop and deliver engaging and interactive training sessions to diverse audiences.  Facilitate virtual training programs to enhance employee skills and performance.  Adapt training delivery to various learning styles and needs.  Collaborate with SMEs to ensure training materials are effective and user-friendly.  Provide post-training support and resources to learners.  Assess training outcomes through surveys, feedback, and performance metrics.  What we're looking for 5+ years of experience as a corporate trainer or facilitator. Minimum of 2 years of experience writing or developing curriculum for live instruction. Strong presentation and interpersonal skills. Experience with adult learning principles and learner engagement techniques. Demonstrable Instructional design methodologies and software What you should expect in this role This is a full-time permanent regular salaried (W-2) employee position. Monday through Friday work schedule (40 hours per week). 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. Any exception requires manager approval prior to employee's Gainwell start date. Company provided computer for work use. For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance. Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. When applying you will required to enter a link to your profile of work or portfolio. This position will remain posted to take applications until February 25, 2026.   #LI-NB1 #LI-REMOTE  The pay range for this position is $64,500.00 - $92,200.00 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. 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.

Lead and develop a team to deliver customer experience insights and analytics to improve organizational performance. | Extensive experience in insights, analytics, CX, and team leadership, with familiarity in BI tools, SQL, and operational platforms. | 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 CX Insights Manager, you will lead a team that converts customer and interaction data into measurable business improvement. You will oversee and guide your team to deliver superior insight capabilities, operational reporting, and CX analytics that enable leaders across the CX organization to make informed decisions. You manage the performance and engagement of your staff to optimize processes and maintain the highest quality standards in insight generation. Your work directly supports account leadership, operational leaders, and internal business partners in achieving or exceeding organizational goals.Your role in our mission Gainwell empowers you through innovative technologies and solutions to deliver better health and human services outcomes. In this role, you will: Build, develop, and lead teams responsible for CX listening, interaction analytics, and insight delivery. Guide the creation of journey‑level views of the customer experience by stitching together structured and unstructured data across channels. Establish and lead routines that leverage reporting and insight tools to drive performance and ensure actionable, decision‑ready insights. Partner with business, CX, and operations leaders—including WFM, Training, and QA stakeholders—to identify opportunities to improve delivery of operational products, services, and capabilities. Lead omnichannel monitoring and insight generation across interactions, journeys, and touchpoints. Drive operational excellence by adopting standard operating procedures and establishing clear metrics, insight narratives, and reporting standards. Own the insight‑to‑action lifecycle, including prioritization, delivery, adoption, and impact tracking. Lead executive readouts, presenting findings, implications, and recommended actions. Create conditions for team success by removing obstacles and championing change. Identify and manage existing and emerging risks and implement strategies to mitigate them. What we're looking for 5+ years leading insights, analytics, and CX-focused teams, with deep experience in VoC, omnichannel interaction data, journey mapping, and experience measurement. Expert at converting customer data into actionable business strategies, scaling insight‑to‑action practices, and driving strategic initiatives, process improvements, and operational analytics. Proven leader of complex reporting and analytics functions, with strong awareness of BI tools, SQL, and operational platforms (e.g., Verint, Cxone, Avaya) and how they can be leveraged together to deliver clear, actionable insights to stakeholders. Exceptional communicator with executive‑level presentation abilities, experienced collaborating across Operations, WFM, Training, QA, and other cross‑functional environments, including regulated or complex service settings (MMIS preferred). Strong CX and analytics credentials, with knowledge of CX operating models, closed‑loop systems, and preferred qualifications such as CCXP certification. What you should expect in this role This is a full-time permanent regular salaried (W-2) employee position. Monday through Friday work schedule. 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. Any exception requires manager approval prior to employee's Gainwell start date. Company provided computer for work use. For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance. Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. Applying or sending an email to a current employee does not gurantee an interview. This position is intended for pipelining. We will accept applications on an ongoing basis.   #LI-NB1 #LI-REMOTE  The pay range for this position is $86,700 - $123,900 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. 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.

Coordinate business analyst activities on IT projects, bridge communication between clients and technical teams, and improve business processes. | Requires 6+ years in Business Analysis with Medicaid/Medicare experience, strong SQL and Excel skills, and excellent communication, which do not match your background. | About the position As a\tSenior Business Analyst / Project Management 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 missionPlay a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas. Responsibilities • Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support • Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact • Work with the client to develop business specs at the start of a technical project • Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals • Help verify that all requirements have been met by approving and validating test results • Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work Requirements • 6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience • Knowledge of computer programming concepts such as configuration, development and batch processing • Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools • Strong client communication skills translating client needs to actionable objectives • Strong analytical and business process re-engineering skills • Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel • A leader who motivates others to action and communicates key technical ideas in a digestible way Nice-to-haves • TMSIS knowledge is a plus Benefits • work flexibility • learning • career development • generous, flexible vacation policy • educational assistance • 401(k) employer match • comprehensive health benefits • leadership and technical development academies

Oversee and manage service level agreements to ensure service standards are met, coordinate between teams and clients, and identify service improvements. | Bachelor's degree in Business Administration or related field, 5+ years in service delivery or IT service management, familiarity with SLA management tools and frameworks, strong communication skills. | 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 Service Level Agreement (SLA) Analyst is responsible for overseeing the development, implementation, monitoring, and management of Service Level Agreements (SLAs) between Gainwell Technologies and its clients. This role ensures that all services delivered meet or exceed agreed-upon service standards and that any issues are identified and resolved promptly to maintain high customer satisfaction. The SLA Manager will work closely with key stakeholders, including service delivery teams, clients, and internal departments, to ensure continuous improvement and alignment of service objectives. The person in this role should be in the United States Eastern or Central Time Zone.Your role in our mission Coordinates moderately complex to complex activities of functional areas or of department account leads to ensure that business solution objectives are met. Interprets demand forecasts and assists functional areas or departments in planning and delivering end-to-end services. Oversees account specific service problems and the prioritization of work requests. Maintains records of expenditures to ensure that costs do not exceed approved budgets. Identifies and escalates issues related to budgetary compliance in relation to expenditures. Coordinates communications between functional areas or departments and clients to ensure that integration of new, enhanced and existing service offerings meet client specifications. Assists in developing new business proposals and introducting new technologies to enhance competitiveness of company products and services. Identifies service improvements to increase customer satisfaction. Communicates improvement needs to appropriate parties to ensure timely implementation and to maintain client satisfaction. Ensures delivery of projects meet client and company expectations and needs. Provides leadership and work guidance to less experienced personnel. What we're looking for Bachelor’s degree in Business Administration, Information Technology, or related field. Five (5) or more years of experience in service delivery management, SLA management, or IT service management. Strong understanding of how service levels are configured within ServiceNow SLA Tables, and the ability to identify workflow issues contributing to SLA underperformance. While being proficient in using SLA management and reporting tools (e.g., ServiceNow, Jira). Strong understanding of service management frameworks (e.g., ITIL, COBIT). Excellent communication and negotiation skills, with the ability to work effectively with clients, senior leadership, and cross-functional teams. Familiarity with Gainwell Technologies’ service offerings and industry sectors, especially healthcare or Medicare/Medicaid related services. What you should expect in this role This is a full-time permanent regular salaried (W-2) employee position. Monday through Friday work schedule (40 hours per week). Travel to Washington DC may be required at times. 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. Any exception requires manager approval prior to employee's Gainwell start date. Company provided computer for work use. For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload.  Greater speeds will of course provide better performance. Applying to this position does not gurantee an interview. If selected, video cameras must be used during all interviews, as well as during the initial week of orientation, if hired. This position will remain posted until February 23, 2026, to take applications.     #LI-NB1 #LI-REMOTE  The pay range for this position is $69,100.00 - $98,700.00 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.

Support healthcare and insurance operations by responding to inquiries, researching claim issues, and ensuring compliance. | 2-4 years of experience in healthcare, insurance, or related support roles, with proficiency in operating systems and business applications, and strong communication skills. | It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.  Summary As a Help Desk Representative – Healthcare Remote US at Gainwell Technologies, you will support insurance and healthcare operations by responding to provider and client inquiries, researching claim-related issues, and ensuring compliance with state and federal regulations. In this role, you will apply healthcare knowledge, problem-solving skills, and customer service expertise to resolve issues efficiently while supporting improved health and human services outcomes.Your role in our mission This is an important position in Gainwell’s commitment to helping clients deliver better health and human services outcomes. Handle inquiries related to healthcare and insurance programs, resolving routine and moderately complex issues independently. Research, analyze, and respond to provider questions, appeals, and escalations in accordance with established policies and procedures. Process multiple tasks simultaneously while meeting productivity, quality, and timeliness standards. Ensure compliance with contract requirements, business rules, and applicable industry and legal regulations. Collaborate with peers and leadership to escalate complex issues and support continuous process improvement. What we're looking for 2–4 years of experience in a healthcare, insurance, or related administrative or support role. Strong customer service and professional communication skills, including telephone support. Ability to follow written policies, procedures, and guidelines while providing feedback to leadership. Proficiency with operating systems and business applications in a structured environment. Strong organizational, time-management, and independent work skills. What you should expect in this role Full-time, 100% remote (work-from-home) position. Video camera usage required for interviews and during the initial week of orientation. Reliable high-speed internet required (minimum 24 Mbps download / 8 Mbps upload; higher speeds recommended). Most benefits start on the first day of employment, including medical, dental, vision, and 401(k) with company match. A structured, regulated healthcare environment focused on quality, compliance, and service excellence. #LI-REMOTE #LI-JT1  The pay range for this position is $29,100.00 - $41,600.00 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. 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.

Analyze and improve business processes, support system integration, and communicate requirements between stakeholders. | Requires 3+ years of business analysis, healthcare/Medicaid experience, knowledge of APIs, and AWS Cloud experience, which are not present in your profile. | 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 Professional Business Analyst - AWS Cloud 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. Gainwell is looking for a Professional Business Analyst eager to build new functionality and learn new technology approaches to efficiently manage 3rd party integrations as part of our growing systems integration platform team. Here are the details on this position. Your role in our mission Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. • Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations • Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models • Create, execute or analyze basic test scenarios to verify that client requirements are built into system design • Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections What we're looking for • Three or more years of Business Analyst experience, healthcare and Medicaid experience preferred • Knowledge of basic computer programming concepts such as configuration, development, batch processing and APIs • Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis • Strong analytical and business process re-engineering skills • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel • An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way Preferred skills and experience • AWS Cloud • Systems Integration experience What you should expect in this role • Fully remote options from continental US locations only • 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 has been extended until a suitable candidate has been selected. #LI-HC1 #LI-AWS Cloud #LI-Systems Integration The pay range for this position is $55,600.00 - $79,400.00 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.

Own end-to-end delivery of IT projects, manage cross-functional teams, and ensure successful implementation of enterprise systems. | Requires 10+ years in IT project management, PMP certification, and experience with public sector IT solutions, especially in government contexts. | 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 Senior Manager – Service Delivery, you will own the end-to-end delivery of mission-critical technology initiatives, including Design, Development, and Implementation (DDI) projects. This role demands a unique blend of strategic leadership and hands-on project management expertise; someone who can roll up their sleeves and drive results across the full SDLC. You will lead cross-functional teams, manage client relationships, and ensure high-quality delivery of IT solutions that improve public health and government services. If you have a proven track record of implementing products, enterprise systems, managing scope and risk, and delivering outcomes that matter, this is your opportunity to make a lasting impact. Your role in our mission • Lead End-to-End Delivery: Own full SDLC for IT product implementations from requirements validations through development, testing, data migration, deployment, and post-go-live support. • Drive Program Success: Manage DDI projects, ensuring alignment with client objectives, timelines, and compliance standards. • Hands-On Leadership: Actively engage in technical discussions, and issue resolution, not just oversight. • Client Partnership: Build strong relationships with public sector clients, serving as a trusted advisor and escalation point. • Project Governance: Apply PMP best practices for planning, deliverables management, risk management, and quality assurance across all engagements. • Team Development: Mentor and guide project managers, business analysts, and technical leads, fostering a culture of accountability and excellence. • Cross-Functional Collaboration: Coordinate with various internal, cross functional teams to ensure seamless delivery for the client. • Scope and Budget Management: Oversee estimation, pricing, and change control for complex IT implementation projects. What we're looking for • Bachelor’s degree in Information Systems, Computer Science, or related field. • 10+ years of experience in IT project or program management, with 3+ years in senior leadership roles required. Advanced knowledge of project management tools and methodologies, Agile or Waterfall hybrid experience preferred. • 8+ years of IT Consulting experience in State & Local Government, with experience working with cross-functional teams and offshore or onsite delivery models required. Familiarity with Medicaid and other public sector frameworks preferred. • Proven success delivering enterprise IT solutions and managing end-to-end SDLC in complex environments, with strong technical understanding of system architecture, integration, and data flows required. • PMP certification required. What you should expect in this role • This is a full-time permanent regular salaried (W-2) employee position. • Monday through Friday work schedule (40 hours per week). • Opportunities to travel for client meetings, up to 10%. • 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. Any exception requires manager approval prior to employee's Gainwell start date. • Company provided computer for work use. • For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance. • Video cameras must be used during all interviews, as well as during the initial week of orientation if hired. • This position will remain posted to take applications until February 16, 2026. Applying does not gurantee an interview. #LI-NB1 #LI-REMOTE The pay range for this position is $113,900.00 - $162,700.00 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 improve business processes, gather and document requirements, and support testing and implementation for healthcare technology solutions. | Requires 3+ years of healthcare business analyst experience, knowledge of claims processing, and SQL skills; your background lacks healthcare industry-specific experience and claims processing knowledge. | 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 Professional Business Analyst 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 Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. • Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations • Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models • Gather and document requirements into Business Requirements Document (BRD, or Analysis) for client signoff. • Create test plan and test case scenarios. • Create, execute or analyze test scenarios to verify that client requirements are built into system design. • Prepare test results packet for client signoff. • Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections • Perform research as needed by the customer or internal CX (customer experience) team. • Ability to write and execute basic SQL commands (preferred but not required) What we're looking for • Three or more years of Business Analyst experience in Healthcare industry translating technical goals and requirements into real action for clients • Knowledge of basic computer programming concepts such as configuration, development and batch processing • Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis • Strong analytical and business process re-engineering skills • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel • An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way • Experience with Claims processing rules and adjudication preferred What you should expect in this role • Fully remote options from continental US locations only • 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 December 18, 2025 • #LI-HC1 #LI-SQL #LI-BRD #LI- Claims Processing and Adjudication The pay range for this position is $55,600 - $79,400 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.

Supporting Medicaid workflow operations, requirements gathering, and stakeholder communication. | Extensive experience in healthcare IT business analysis, specifically Medicaid MMIS, with domain knowledge and technical proficiency in relevant tools. | 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 Advisor Business Analyst - Medicaid 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. We are seeking a highly experienced Medicaid Business Analyst to join our client delivery team supporting the Medicaid Management Information System (MMIS). While supporting operational execution of Medicaid workflow, this role will serve as a critical point of contact for our client and external stakeholders including MCOs, Providers and third parties. You will be the "front line" for triaging complex requirement issues, facilitating high-stakes conversations with state government stakeholders, and translating urgent operational needs into clear, actionable technical specifications for our internal product teams. The role requires active leadership, rapid problem-solving, and deep domain expertise in Medicaid workflows. Your role in our mission Client Liaison & Stakeholder Management • Act as the primary functional liaison between the client, MCOs, and our internal technical teams for all MMIS operations workflows • Lead requirements gathering sessions and "triage" meetings to address any surges in defects, change requests (CRs), and operational gaps. • Manage client expectations regarding system capabilities, timelines for fixes, and regulatory constraints. Requirements Engineering • Analyze and document complex requirement issues namely Claims (FFS & Encounters), Financials, Capitation, Provider Enrollment and others. • Translate high-level policy changes or operational pain points into detailed User Stories, Functional Design Documents (FDDs), and Technical Specifications for developers. • Validate proposed technical solutions solve the business problem before development begins. .... your role continued Requirement issue resolutions • Investigate root causes of systemic issues reported by Providers or MCOs (e.g., mass claim denials, capitation payment errors, EDI rejection loops). • Collaborate with the Operations team to distinguish between "system defects" and "user training gaps," creating workarounds or documentation as needed. Domain Leadership • Serve as the Subject Matter Expert (SME) on Medicaid workflows, ensuring compliance with federal (CMS) and local (District) regulations. • Support the Compliance Manager in assessing the impact of new mandates (e.g., 1095-B reporting, T-MSIS data quality) on current system functionality. • Understanding of MITA 3.0 framework and CMS-64 financial reporting. What we're looking for • 9+ years of Business Analysis experience in Healthcare IT, with at least 4 years dedicated to ‘Medicaid MMIS’ or state-level Eligibility & Enrollment systems. • Domain knowledge • Deep understanding of Core MMIS modules: Claims Adjudication, Encounters Processing, Financial Management, Provider Management, MCO Capitation, 837/835 EDI transactions. • Technical proficiency • * Experience with ALM tools (JIRA, Microfocus ALM, SharePoint) for requirements traceability. • Strong understanding of the SDLC in an Agile/Hybrid environment • Knowledge of Microsoft Excel advanced features such as macros and/or relational database software • PowerPoint and presentation skills • Soft skills • Client-Facing Confidence: Proven ability to lead meetings with government clients and push back diplomatically when necessary. • Crisis Management: Ability to remain calm and structured during "surge" periods of high-volume issues and reporting. • Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members • A caring team leader who motivates and coaches less experienced resources What you should expect in this role • Must be available to work 8a-5p eastern time to support client hours. • Opportunities to travel through your work (0-10%) • Fully remote options from most US locations and territories • 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 December 23, 2025 • #LI-HC1 #LI-Medicaid The pay range for this position is $92,900.00 - $132,700.00 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 complex, multi-stakeholder programs ensuring quality, budget, and timeline adherence while coordinating across teams and executives. | 5+ years project management, 2+ years pharmacy/PBM experience, proficiency in project management methodologies, MS Office, SQL, Tableau, Power BI, and quality management standards. | It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary The Principal, Program Management at Gainwell Technologies leads complex, multi-stakeholder programs by overseeing project planning, documentation, risk management, and client communications. This role ensures deliverables meet quality, budget, and timeline standards while coordinating across teams and executives. It requires strong experience in project management, pharmacy or PBM operations, and proficiency in tools such as MS Office, SQL, Tableau, and Power BI. Basic Qualifications • 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. What you should expect in this role • Work Arrangement: Remote within the United States • Travel Requirement: Up to 15% • Position Type: Full-time job Applications for this posting will be accepted until November 25, 2025. #LI-AC1 #LI-REMOTE The pay range for this position is $108,500.00 - $140,000.00 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.

Develop and maintain full stack web applications including front-end website architecture and back-end RESTful services, ensuring performance, scalability, and cross-platform optimization. | Bachelor's degree, 5+ years full stack development experience, expert SQL skills, knowledge of Linux, DynamoDB, Databricks, AngularJS, Node.js, Java, Python, CSS, JavaScript, HTML, API design, and frontend libraries like log4j, Backbone.js, and jQuery. | Summary We are looking for a Full Stack Developer to code and operate on both front-end and back-end systems. This role is strictly involved in the development of the product and does not involve access to Protected Health Information (PHI) & Personally Identifiable Information (PII) or any secured/confidential client data. The work is limited to application development & demo and does not include handling or processing of sensitive health information. This role is perfectly suited for people that love to learn new technologies, for the simple fact, it requires you to continuously update your skillset and technical abilities. Staying up to date on new development tools, programming techniques, and industry trends is also part of the job. Your role in our mission • Ensure that non-functional requirements such as performance, maintainability, scalability, usability, and reliability are being considered when architecting solutions. • Develop visually appealing front-end website architecture, including translating designer mock-ups and wireframes into front-end code • Develop and design RESTful services and APIs. • Stay current with the latest developments in web applications and programming languages, including cutting edge software approaches, architecture. • Ensure cross-platform optimization. • Strategize organizational direction on emerging technology platforms. What we're looking for • Bachelor’s Degree in Computer Science, Information Technology or other relevant fields. • 5+ years of work experience as a Full Stack developer • 2+ years of expert-level skills in writing and optimizing SQL. • Strong knowledge of Linux, with working understanding of DynamoDB, Databricks AngularJS and Node.js. • Experience working with languages such as Java and Python. • Proficient in CSS (Foundation or Bootstrap), JavaScript and HTML. • Experience in API design and development. • Understanding of libraries including log4j, Backbone.js, and jQuery. • Experience with AJAX. What you should expect in this role • Fast-paced, challenging and rewarding work environment. • Work life balance. • Remote working. • Will required late evening work to overlap US work hours, whenever it is required.

Complete provider enrollment tasks including enrollments, updates, revalidations, and related administrative processes. | Proficiency with Windows and Microsoft Office, advanced data entry and communication skills, multitasking, and organizational abilities. | 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 Analysts are responsible for completing all tasks assigned to Provider Enrollment, including enrollments, updates, revalidations, recertifications, changes of ownership, disclosure updates, and other related processes.Your role in our mission Ability to multitask Organization Detail oriented Adapts to change readily Stays on task What we're looking for Proficient with PC and windows environment, including software such as MS Word, Excel, PowerPoint, Outlook, Teams. Advanced data enter and quality entry skills that includes being able to compose clear and concise correspondences and reports. Advanced phone calls skills that include the ability to resolve questions from providers, clients, and vendors. Complete multiple tasks proficiently (i.e. research, analyze, and successfully resolve complex issues) Able to learn and interpret administrative policies and ;Strong planning and organizational skills. What you should expect in this role #LI-REMOTE #LI-LS2   The pay range for this position is $30,500.00 - $43,500.00 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 SLAs, oversee performance, ensure compliance, and drive continuous improvement. | Bachelor’s degree or equivalent experience, call center leadership experience, preferably with pharmacy/PBM and Medicaid program knowledge. | It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development.  Summary 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 pay range for this position is $75,700.00 - $108,100.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. 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, evaluate, and process claims accurately and timely while ensuring compliance with policies and regulations and maintaining high customer service. | 2+ years claims processing or insurance experience, knowledge of claims procedures and regulations, proficiency with claims software and Microsoft Office, and strong analytical and communication 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 The Claims Examiner is responsible for reviewing, evaluating, and processing claims in accordance with policy provisions, regulatory requirements, and organizational guidelines. This role ensures timely, accurate, and fair adjudication of claims while maintaining a high level of customer service and compliance. Your role in our mission • Review and analyze claim submissions, supporting documentation, and policy details. • Determine claim eligibility, coverage, and benefits according to company policies and industry regulations. • Request additional documentation or information as needed to finalize claim determinations. • Accurately calculate payment amounts and authorize claim settlements. • Maintain detailed, organized claim files and records in the claims management system. • Communicate claim decisions clearly to policyholders, providers, or other stakeholders. • Collaborate with internal departments (e.g., underwriting, legal, provider relations) for complex claim cases. • Identify potential fraud, waste, or abuse and escalate cases as required. • Ensure all claims are processed within required timelines and service-level agreements. • Stay up to date on industry regulations, policy changes, and best practices. What we're looking for • High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred. • 2+ years of claims processing or insurance industry experience preferred. • Strong knowledge of claims adjudication procedures, policies, and regulatory requirements. • Excellent analytical, problem-solving, and decision-making skills. • Strong attention to detail and accuracy. • Proficient in claims management software and Microsoft Office Suite. • Effective written and verbal communication skills. What you should expect in this role • Analytical thinking • Decision quality • Time management • Compliance awareness • Customer focus • Remote position The pay range for this position is $28,500.00 - $40,700.00 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.

Manage and mentor an analytics team to deliver actionable healthcare operational insights and projects that improve revenue or reduce costs. | 5+ years healthcare experience with 1+ year people management, proficiency in SQL, Python, Tableau, and experience managing analytics projects in a hybrid/remote setting. | 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 Associate Manager, Data Analytics 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. Yor role in our mission • Generate and communicate actionable insights into operational performance in the healthcare analytics sector • Identify, execute, and report performance on actionable projects based on insights obtained through analytics that drive revenue-generating or cost-savings results • Coach team members to build presentation skills and industry knowledge • Develop, enhance, and explain methodologies for evaluating project and operational performance • Ensure on-time, accurate delivery of projects • Provide direct people management and mentorship on the Analytics team What were looking for • 5+ years of healthcare industry experience, preferred 1+ years of experience as a people manager in a hybrid/remote environment • Professional background working in Operations and/or Analytics with experience of managing yield-improving or cost-improvement initiatives • Track record of ability to manage multiple projects to timely completion utilizing both internal analytics team as well as cross-functional collaboration • Team-oriented leader capable of delegating responsibilities and thriving in a culture of continuous feedback • Strong communicator and coach capable of developing team members with authentic and empathetic interactions through primarily remote interactions • Strong Proficiency in SQL, Python, and Tableau with familiarity in AI integration What you should expect in this role • United States remote opportunity • 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 October 30, 2025 The pay range for this position is $74,700.00 - $106,700.00 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 the performance, availability, and modernization of Medicaid Management Information Systems, ensuring operational continuity, compliance, and technical delivery excellence. | Bachelor’s degree plus 10+ years in IT systems engineering or infrastructure leadership, 5+ years in technical service delivery leadership, and expertise in ITIL4, HIPAA, and enterprise compliance frameworks. | 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 Gainwell Systems Manager is a strategic, technical, and operational leader accountable for the performance, availability, modernization, and delivery of all systems supporting the Medicaid Management Information System (MMIS) and related enterprise services. This role drives IT service management (ITSM) maturity, ensures seamless operations, and enforces governance over system changes, incidents, and escalations. As a core member of the account leadership team, the Systems Manager owns system health, enforces escalation and ownership protocols, and ensures all systems and services are optimized, secure, and aligned with contractual and business outcomes. This role is not a traditional Project Manager or HR People Manager, but is accountable for the systems team’s technical delivery, excellence, and cross-functional coordination. Your role in our mission 1) Operational Oversight & Systems Health - Own end-to-end Gainwell system availability, performance monitoring, and operational continuity. - Enforce defined escalation paths across L1–L5 tiers, ensuring no ownership gaps. - Lead Root Cause Analysis (RCA) and implement permanent corrective actions for all major incidents (P1/P2). -Maximize system updates, patches, and troubleshooting efforts. -Responsible for defect tracking (PROD and non-PROD). - Ensure system observability and lead rapid triage during outages or degradation events. - Maintain operational compliance with HIPAA, state/federal policies, and internal audit controls. 2) Technical Architecture & Modernization - Guide infrastructure modernization initiatives such as cloud-readiness, refactoring, virtualization, and platform reengineering. - Collaborate with architects and engineering teams to align with SOA, DevOps, and enterprise integration best practices. - Implement security best practices, including access controls, data protection, SOC audits, and help with disaster recovery planning and execution. - Coordinate with teams to remediate Security Vulnerabilities across systems. - Champion technical innovation and recommend solutions to increase scalability, security, and automation. 3) ITSM & Service Delivery - Lead the design, implementation, and continuous improvement of ITSM processes, leveraging the ITIL4 framework. - Supervise Incident, Problem, Change, and Service Request Management across all system tiers. -Responsible for MIM reporting and communication. - Own, define and monitor KPIs and SLAs for service quality, proactively driving improvements. - Manage second-level support teams and coordinate with L1 providers for seamless escalation and response workflows. -Promote support to Release team for successful releases to build on project deliverables and compliance to client timelines. -Oversee annual DR exercise. -Support annual SOC audit. 4) Driving Delivery Excellence - Lead technical planning for system initiatives, migrations, upgrades, and risk mitigation efforts. change to reflect partnership with Arch… -Understands Gainwell Technologies Policies and Procedures. -Provide weekly defect reporting and change requests. -Work closely with PMO for weekly/monthly reporting. - Participate in project governance, CAB, and readiness assessments for production deployment approvals. - Ensure successful alignment of technical execution with contractual obligations, security audits, and disaster recovery objectives. 5) Stakeholder & Client Engagement - Act as the primary systems liaison to client leaders (e.g., CDL, DHS, AGM), participating in governance and planning meetings. - Represent systems at weekly status meetings, steering committees, and delivery reviews. - Partner with clients to anticipate future needs, align on solution roadmaps, and maintain strong business relationships. - Provide clear communication and detailed impact reporting during outages, escalations, and planned changes. 6) Influencing Leadership & CSI Development - Lead and coach technical and operations staff across multiple delivery areas. - Set aligned objectives, drive performance feedback, and promote a culture of accountability and learning. - Maintain an Ownership Map—ensuring every service/system has clearly defined primary and secondary owners. - Encourage cross-training, succession planning, and bench strength development. What were looking for - Bachelor’s degree in Computer Science, Information Systems, Engineering, or related field (Master’s or PMP preferred). - 10+ years in IT systems engineering, operations, or infrastructure leadership (Medicare MIS or healthcare platform experience preferred). - 5+ years in technical and service delivery leadership roles. - Deep expertise in ITIL4, ITSM, and technical project execution within complex, regulated environments. - Knowledge of HIPAA, SOC, and enterprise compliance frameworks. What you should expect in this role • United States remote opportunity • 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 August 24, 2025 The pay range for this position is $100,800.00 - $144,000.00 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.

As a Drug Rebate Analyst, you will review Medicaid drug rebate payments, identify disputes, and negotiate resolutions with manufacturers. You will also contact pharmacies and medical providers to verify claims data and maintain productivity reports. | The role requires 1+ years of experience with Medicaid drug rebates or related claims processing. Proficiency with rebate systems and strong analytical and communication skills are essential. | 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 Gainwell Technologies is seeking a Drug Rebate Analyst. In this fully remote role, you’ll review Medicaid drug rebate payments, identify disputes, and negotiate resolutions with manufacturers—helping ensure accurate reimbursements and support critical healthcare funding.Your role in our mission As a Drug Rebate Analyst, you will: Contact pharmacies and medical providers to verify claims data. Liaise with drug manufacturers to gather details on disputed rebates. Research utilization and prepare resolution proposals for rebate disputes. Negotiate fair, accurate settlements and follow up on unpaid invoices. Maintain productivity reports and track dispute-resolution activities daily. Collaborate with internal teams and external partners to meet operational goals. What we're looking for 1 + years of experience with Medicaid drug rebates, pharmacy or medical billing, or related claims processing. Proficiency with rebate or reporting systems (e.g., PRIMS, SSRS, Process Manager) and MS Office (Excel, Word, Outlook). Strong analytical, critical-thinking, and organizational skills. Excellent written and verbal communication. Ability to maintain confidentiality (HIPAA compliance) and operate in a paper-free environment. Self-motivated, reliable attendance, and ability to work independently within agreed schedules. What you should expect in this role Fully remote work—but must live within 50 miles of West Virginia. A dynamic, supportive team environment focused on continuous improvement. Structured onboarding, training on rebate systems, and mentorship from experienced colleagues. Opportunity for career growth through professional development and cross-functional projects. Competitive hourly rate and a comprehensive benefits package, including paid time off, holidays, and 401(k) plan. #LI-REMOTE#LI-JT1#LI-CM1  The pay range for this position is $31,400.00 - $44,800.00 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.