Job Description

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

Communicate and collaborate with others on the delivery of Gainwell services for the enhancements of the Medicaid program. Contribute your skills to harness the power of technology to help our client improve the health and well-being of those most vulnerable in our country and communities. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Provide a supporting role in the analysis, design, and implementation of EDI related systems while maintaining current system functionality.

Your role in our mission

• Collaborate with a team of client-facing associates responsible for effective and accurate configurations of product implementations and enhancements 
• Work closely with project management, business analysts, technical, and functional leads to design solutions that are flexible, scalable, and reusable while meeting the business needs, deadlines, assignments and objectives
• Ensure program requirements are met as determined by established deliverables and ensures adherence to those deliverables
• Investigate, analyze, and troubleshoot technical anomalies associated with EDI related systems and associated processes, web portal functionality and electronic billing difficulties
• Serve as an EDI escalation point of contact between the client, MCOs, other business associates, and team members 
• Establish and maintain a high level of client satisfaction
• Assist in the creation and/or review of status reports and system audits
• Provide leadership and work guidance to less experienced personnel.
• Foster a working environment that is energized, motivating, and contributes to a positive associate engagement.

What we're looking for

• 5 years of Medicaid, HealthPAS EDI solution sets, X12, and project management experience
• Strong knowledge of HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277, 278, 834, 835, 837, 997, 999, 824, and NCPDP 5.1 & D.0
• Strong knowledge of EDI applications including the EDI Gateway, Edifecs suite of tools, Microsoft Biztalk, Microsoft SQL Server, and other applications in support of EDI processing
• Knowledge of ndustry standard health data code sets such as ICD-10, CPT/HCPCS, revenue codes
• Excellent leadership and motivational skills

What you should expect in this role

Candidate must be located in West Virginia or 30 miles from the border
Travel to Charleston, WV maybe requried
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 Friday February 14, 2024.

 

The pay range for this position is $60,300.00 - $86,200.00 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 , 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 and visit our 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.

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