
10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.
🔥 6 minutes ago
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10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.
• Manage configuration and maintenance of Benefit Plans • Manage configuration and maintenance of Assignment Plans • Manage configuration and maintenance of Provider Contracts • Manage configuration and maintenance of Reference Tables • Manage configuration and maintenance of Rule Metadata • Manage configuration and maintenance of BPA configuration components used in claims adjudication • Support configuration governance and release management • Troubleshoot and provide production support • Apply Medicaid reference data knowledge to claims, provider enrollment, reimbursement, audits, and policy administration
• 9+ years of experience as a Reference SME • Strong expertise in Medicaid Reference Configuration • Strong Oracle, C, and Pro*C expertise • Proficiency in C Programming • Proficiency in Pro*C • Proficiency in Oracle SQL • Proficiency in PL/SQL • Proficiency in Unix/Linux Shell Scripting • Proficiency in Batch Processing • Deep BPA configuration knowledge • Provider Contract and Benefit Plan maintenance experience • Rule Metadata and Rule Sheet management experience • Configuration governance and release management expertise • Strong troubleshooting and production support capability • Ability to manage Benefit Plans, Assignment Plans, Provider Contracts, Reference Tables, Rule Metadata, and BPA configuration components used in claims adjudication • Deep understanding of Medicaid reference data structures and their impact on claims, provider enrollment, reimbursement, audits, and policy administration
• Remote work opportunity in India
Apply Now🔥 18 hours ago
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