Gainwell Technologies
287 open jobsIT Services and IT Consulting
287 job openings at Gainwell Technologies
Gainwell Technologies LLC
Design, develop, and deploy AI and Generative AI solutions for healthcare applications. Optimize AI technologies, integrate them into existing systems, and ensure compliance with industry standards.
remote, United States
$126k – $180k/yr
Full Time
Lead / ManagerGainwell Technologies LLC
Provide knowledgeable responses to client inquiries, escalating complex cases as needed. Update account history and follow up with clients to ensure resolution of their requests. Meet production targets and adhere to client SLAs.
onsite, Montgomery, AL, United States$27k – $39k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Lead the development, negotiation, interpretation, and administration of complex contracts. Manage contracts throughout the lifecycle, ensuring compliance with corporate policies and applicable laws.
hybrid, Bengaluru, KA, IndiaFull TimeSenior (5+ years)Gainwell Technologies LLC
Serve as a subject matter expert on security procedures and audit compliance. Respond to SOC 1, SOC 2, and NIST 800-53 audits, support threat and vulnerability management, and conduct Identity Access Reviews. Oversee implementation of access controls and destruction of sensitive information.
remote, United States$91k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Support members, medical providers, and pharmacies with pharmacy benefit inquiries. Handle calls, process requests, track productivity, and document interactions.
remote, MS, United States$31k – $45k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Lead the development, negotiation, interpretation, and administration of various contracts including MSAs, SOWs, and NDAs. Analyze contractual risks and provide management with risk-mitigation strategies.
remote, United StatesFull TimeSenior (5+ years)Gainwell Technologies LLC
Lead the analytics and reporting workstream, translating contract requirements into metrics, reports, and dashboards. Establish reporting governance and maintain a reporting inventory. Collaborate with cross-functional teams to gather requirements and deliver insights.
hybrid, Roseville, CA, United States$78k – $112k/yrFull TimeLead / ManagerGainwell Technologies LLC
Serve as the Functional Area Business Lead for Wisconsin's Children's Long-Term Support (CLTS) program. Lead operational initiatives, maintenance activities, and project work from initiation to closure.
remote, United States$69k – $99k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Serve as a technical analyst and SQL developer supporting Medicaid claims and healthcare data solutions. Design, develop, and maintain advanced SQL queries and custom stored procedures. Collaborate with business analysts and technical teams to translate requirements into production-ready SQL code.
remote, DC, United States$69k – $99k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Monitor and evaluate quality of inbound and outbound interactions, including calls and transactions. Execute daily quality assurance reviews and audits to ensure compliance with standards.
remote, United StatesFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Lead financial operations for assigned accounts, including forecasting, budgeting, variance reporting, and month-end close processes. Conduct Monthly Business Reviews and provide financial analysis to account leadership.
remote, United States$79k – $113k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Design, develop, and deploy advanced AI solutions, including Generative AI, for healthcare applications. Build and optimize machine learning models, integrate AI technologies into existing systems, and ensure compliance with industry standards.
remote, United States$147k – $210k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Provide executive leadership for drug rebate solutions, overseeing implementation and operations teams. Manage the full implementation lifecycle for new clients, ensuring timely delivery and compliance. Direct rebate operations, invoicing, and dispute resolution to maximize rebate recovery.
remote, United States$137k – $196k/yrFull TimeDirectorGainwell Technologies LLC
Oversee planning and delivery of application development initiatives, ensuring alignment across stakeholders. Drive end-to-end program lifecycle including road mapping, execution, risk management, and continuous improvement.
remote, United States$97k – $138k/yrFull TimeLead / ManagerGainwell Technologies LLC
Review and process Medicaid provider enrollment applications, ensuring compliance with Rhode Island Medicaid guidelines and federal regulations. Conduct provider screening and verify documentation for accuracy. Maintain provider records, resolve enrollment-related issues, and respond to inquiries.
hybrid, Warwick, RI, United States$35k – $50k/yrFull TimeEntry with DegreeGainwell Technologies LLC
Respond to inbound calls from providers and members regarding Medicaid inquiries. Provide support for web portal navigation and document all calls accurately.
onsite, Jackson, MS, United States$30k – $43k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Review and process payments, ensuring accurate and timely recording of transactions. Perform cash reconciliation and support financial reporting activities. Investigate payment discrepancies and resolve financial concerns.
onsite, Madison, WI, United States$56k – $80k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Supervise daily activities of claims representatives and call center staff, including staffing and training. Monitor workloads and service level agreements to ensure efficient claims processing. Coach staff performance, establish goals, and implement corrective actions.
onsite, Camphill, PA, United States$54k – $77k/yrFull TimeLead / ManagerGainwell Technologies LLC
Design, develop, enhance, and maintain ECM solutions using IBM FileNet P8, CMOD, and ICN. Configure and support application groups, workflows, and document lifecycle processes. Develop and troubleshoot applications using Java and C#/.NET, and support web services on IBM WebSphere.
remote, Bengaluru, KA, IndiaFull TimeSenior (5+ years)Gainwell Technologies LLC
Code, test, debug, implement, and document moderately complex programs. Analyze, design, and write specifications for program development. Evaluate existing systems, assist project managers, and lead a small sub-team of developers.
remote, United States$73k – $104k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Lead the full software development lifecycle for NCPDP F6 implementation, including analysis, design, coding, testing, and deployment. Collaborate with stakeholders to translate functional requirements into technical solutions.
remote, United States$58k – $83k/yrFull TimeLead / ManagerGainwell Technologies LLC
Lead the full software development lifecycle for NCPDP F6 implementation, including analysis, design, coding, testing, and deployment. Collaborate with stakeholders to translate functional requirements into technical solutions.
remote, United States$73k – $104k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Analyze user needs for database solutions, develop technical specifications, and assist in the design and implementation of database management systems.
remote, United States$47k – $67k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Lead business solution architecture and integrated delivery for Medicaid Provider implementations. Manage cross-workstream dependencies, risks, and tradeoffs while ensuring alignment across business processes and technical designs.
remote, United States$130k – $180k/yrFull TimeLead / ManagerGainwell Technologies LLC
Lead client support, training, onboarding, and enablement activities for FraudCapture. Manage user account setup, training curriculum, and client communication plans. Oversee defect management and monitor product adoption, training effectiveness, and support trends to enhance client satisfaction.
remote, United States$109k – $156k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Support state procurement with technology and business solutions in health and human services. Collaborate with product, engineering, sales, and delivery teams to translate client needs into scalable solutions.
remote, United States$103k – $148k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Lead business analyses to align IT solutions with strategic goals. Oversee requirements validation, business process modeling, and documentation. Facilitate stakeholder workshops to gather and document business requirements.
remote, United States$69k – $99k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Process and maintain prior authorization requests in the Medicaid Management Information System (MMIS). Review requests for accuracy and compliance with coverage rules. Research and resolve discrepancies and processing errors, coordinating with internal teams as necessary.
hybrid, Warwick, RI, United States$35k – $50k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Develop and lead Medicaid modernization strategies, translating business and technology needs into target-state solutions. Support Medicaid pursuits and RFPs by creating integrated solution strategies and business cases.
remote, United States$109k – $155k/yrFull TimeLead / ManagerGainwell Technologies LLC
Monitor and evaluate voice and non-voice interactions for accuracy and compliance. Conduct daily reviews and audits to ensure adherence to standards and policies. Participate in calibration sessions and stakeholder meetings, and identify quality issues and process improvement needs.
remote, United StatesFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Assist with EDI/Helpdesk calls, manage password resets, and handle EDI emails. Provide technical support for users facing transmission issues and assist providers with electronic HIPAA transactions. Enroll users for transaction submissions and verify receipt of electronic transmissions.
hybrid, Tallahassee, FL, United States$31k – $45k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Lead client support, training, onboarding, and enablement activities for FraudCapture. Manage user account setup, training curriculum, and client communication plans. Oversee defect management and monitor product adoption, training effectiveness, and support trends to enhance client satisfaction.
remote, United States$109k – $156k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Serve as the primary contact for privacy on large healthcare accounts, ensuring compliance with HIPAA and state privacy laws. Implement and oversee privacy programs, conduct risk assessments, and manage audit responses.
remote, United States$129k – $185k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Oversee daily operations of a Provider Enrollment contact center, ensuring service levels and quality standards are met. Develop and coach managers and frontline employees, driving continuous improvement in operational performance.
remote, United States$91k – $130k/yrFull TimeLead / ManagerGainwell Technologies LLC
Administer and maintain the AI governance operating model, including the AI use case intake and review process. Coordinate governance review materials and organize AI governance meetings. Track approved AI use cases through their lifecycle and maintain documentation for governance decisions.
remote, United States$142k – $203k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Lead project management teams to oversee components of larger technological programs. Manage project schedules, budgets, and deliverables while ensuring quality. Identify and mitigate risks through status reporting and updates.
remote, United States$56k – $79k/yrFull TimeLead / ManagerGainwell Technologies LLC
Coordinate and perform appeal-related duties, including analyzing and responding to provider appeals. Review documentation to ensure all aspects of the appeal are addressed accurately. Prepare case files and summaries for hearings, and participate in virtual and on-site hearings.
remote, United States$69k – $99k/yrFull TimeSenior (5+ years)Gainwell Technologies LLC
Review clinical documentation and Preferred Drug List criteria for medication therapy and prior authorization requests. Collaborate with stakeholders to enhance utilization management strategies and pharmacy operations.
remote, United States$91k – $130k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Support requirements management activities by organizing, documenting, and maintaining requirements throughout the project life cycle. Assist in eliciting and analyzing business needs and stakeholder expectations.
remote, United States$56k – $79k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Oversee the development and maintenance of the Preferred Drug List (PDL) for Delaware Medicaid, ensuring compliance with program requirements. Monitor drug market changes, develop prior authorization criteria, and analyze utilization trends.
remote, United States$114k – $162k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Lead integrated Provider DDI delivery plans, ensuring alignment across business, functional, technical, and operational teams. Manage dependencies, risks, and tradeoffs while driving resolution of architectural issues.
remote, United States$109k – $155k/yrFull TimeLead / ManagerGainwell Technologies LLC
Design, develop, install, test, and document applications software, including server, client, and web components. Collaborate with application architects and developers to ensure accurate design requirements. Define project requirements and create detailed application solution designs.
remote, United States$58k – $83k/yrFull TimeMiddle (2-4 years)Gainwell Technologies LLC
Provide knowledgeable responses to client inquiries, escalating complex cases as needed. Update account history and follow up to ensure resolution of client requests. Meet production targets and adhere to client SLAs.
hybrid, Conway, AR, United States$27k – $39k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Oversee daily operations of the Provider Enrollment team, managing 15-20 specialists. Ensure timely processing of provider applications and maintenance requests, while meeting Service Level Agreements and Key Performance Metrics.
hybrid, Baton Rouge, LA, United States$48k – $69k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Support PMO governance, resource management, and compliance activities across multiple projects. Review resource allocations, establish Microsoft Project baselines, and perform quality assurance reviews of project schedules.
remote, Bengaluru, KA, IndiaFull TimeSenior (5+ years)Gainwell Technologies LLC
Monitor and evaluate voice and non-voice interactions for accuracy and compliance. Conduct daily reviews and audits to ensure adherence to standards. Analyze performance trends and identify opportunities for operational improvement.
remote, WI, United States$40k – $58k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Manage call center metrics, handle escalated inquiries, oversee call center processes, and coordinate operations. Monitor team performance, provide feedback, and ensure service level agreements are met.
hybrid, Tucker, GA, United States$45k – $64k/yrFull TimeLead / ManagerGainwell Technologies LLC
Provide knowledgeable responses to client inquiries, escalating complex cases as needed. Update account history and follow up to ensure resolution of client requests. Meet production targets while adhering to client SLAs.
hybrid, Tallahassee, FL, United States$29k – $42k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Provide efficient customer service by answering calls, researching concerns regarding claims and eligibility, and assisting with portal navigation. Document calls in detail, ensuring accurate information is captured.
onsite, Topeka, KS, United States$27k – $39k/yrFull TimeJunior (<2 years)Gainwell Technologies LLC
Oversee daily operations of Provider Enrollment and Call Center, ensuring service levels and quality standards are met. Develop and coach managers and frontline employees, driving continuous improvement in operational performance.
hybrid, Warwick, RI, United States$87k – $124k/yrFull TimeLead / ManagerThe most sought-after roles at Gainwell Technologies right now are:
If any of these positions suit your experience, now's a good moment to explore further. Global Work AI can help you apply faster and get noticed.
