Gainwell Technologies
Gainwell Technologies
Gainwell Technologies insonlarga xizmat ko‘rsatish va jamoat salomatligi ekotizimi uchun raqamli hamda bulutli yechimlarni ishlab chiqadi. Kompaniya Medicaid Enterprise tizimini modernizatsiya qilish, ma’lumotlar tahlili, tibbiy xizmat ko‘rsatuvchilar uchun xizmatlar va dorixona yechimlarini o‘z ichiga olgan sog‘liqni saqlash tashabbuslari bo‘yicha AQShning barcha 50 shtatidagi mijozlar bilan hamkorlik qiladi. Uning faoliyati texnologiyalarni jamoat salomatligini ta’minlash, sog‘liqni saqlashni boshqarish, shuningdek, salomatlik natijalari va jamiyat farovonligini yaxshilashga qaratilgan sa’y-harakatlar bilan bog‘laydi.

Senior Medicaid Business Analyst, Configuration and Policy (Texas Remote)

Translate Medicaid policy into MMIS configuration, business rules, and design documentation. Support testing, deployment, client delivery, and healthcare technology projects for Gainwell Technologies.

Tavsif

  • Support business, policy, and technical delivery across MMIS and Medicaid Pharmacy functional areas
  • Convert state and federal Medicaid requirements into product features, configurations, business rules, and design documentation
  • Act as the primary domain and policy expert while advising the Engagement Lead
  • Verify solution designs and configurations against CMS guidance, state policy, and approved business rules
  • Assess functional, regulatory, and operational effects to support scope decisions and change control
  • Lead and contribute to client and internal requirements and design workshops
  • Create and maintain domain documentation for workflows, interfaces, X12 EDI transactions, letters, and reports
  • Record and communicate domain decisions, risks, assumptions, dependencies, and downstream effects
  • Contribute to domain configuration and implementation across Design, Development, and Implementation projects
  • Coordinate with technical teams to ensure configurations reflect approved designs, policy interpretations, and business rules
  • Review test cases and provide subject-matter expertise during System Integration Testing and User Acceptance Testing
  • Analyze defects, investigate root causes, support fixes and retesting, and verify functional readiness
  • Contribute to environment, data, process, and staffing readiness; readiness reviews; parallel and performance testing; cutover; operational transition; and hypercare
  • Lead and support client communications, functional demonstrations, solution walkthroughs, and collaborative sessions
  • Maintain documentation, transfer knowledge, and provide continuing operational support

Talablar

  • Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related discipline
  • Five to eight years of hands-on experience supporting healthcare system implementations, including MMIS and Medicaid Pharmacy platforms
  • Experience with QNXT or a comparable healthcare provider or claims management system
  • In-depth knowledge of state and federal Medicaid policies, regulations, and program requirements
  • Working knowledge of Medicaid functions such as claims, member, provider, and prior authorization processes
  • Experience converting policy and program rules into system requirements, configuration guidance, and design documentation
  • Strong SQL skills for data analysis and validation
  • Demonstrated ability to communicate directly with clients and business stakeholders
  • Ability to lead or assist with functional demonstrations, walkthroughs, and collaborative working sessions
  • Strong documentation, facilitation, and analytical capabilities
  • Experience delivering work in SDLC and Agile environments
  • Knowledge of MITA, or Medicaid Information Technology Architecture, preferred
  • Preferred experience with system integrations, EDI/X12 transactions, analytics, and reporting
  • Familiarity with state and federal healthcare regulations and compliance standards preferred

Imtiyozlar

  • Fully remote work available from most US locations and territories
  • Flexible working arrangements
  • Learning and career growth opportunities
  • Generous flexible vacation policy
  • 401(k) plan with employer match
  • Comprehensive health coverage
  • Educational assistance
  • Leadership and technical development academies
  • Equal opportunity employment

O‘xshash ish o‘rinlari

Bloomlife Inc

Remote Account Sales Executive, Healthcare

Bloomlife Inc

Grow Bloomlife’s remote maternal-fetal monitoring business by selling remote patient monitoring solutions to OB/GYN practices and health systems. Manage the full sales cycle, from prospecting and clinical presentations to contract negotiations and deployment handoffs.

Ochish
Illumina

Clinical Sales Specialist, Genomics — Thailand, Indonesia and Vietnam

Illumina

Support Illumina’s clinical genomics sales across Thailand, Indonesia and Vietnam, advising customers on applications, workflows and products. The role spans reproductive and genetic health, oncology, customer development and regional market growth.

Ochish
Trane Technologies

Senior Executive Assistant, Digital Leadership

Trane Technologies

Support Trane Technologies’ Digital leadership team by coordinating executive schedules, travel, meetings, communications, and procurement. The role covers leaders across the United States and requires on-site work in White Bear Lake, Minnesota, Monday through Thursday.

Ochish