Gainwell Technologies
10,000+ employees
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Healthcare Insurance • Human Services • Healthcare
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.
Senior Long-Term Care – Rate Setting Analyst
🕒 March 18
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Gainwell Technologies
10,000+ employees
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Healthcare Insurance • Human Services • Healthcare
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.
📋 Description
• Play a critical part in ensuring rate-setting and reimbursement strategies meet program, policy, and organizational goals • Lead the development, enhancement, and documentation of rate-setting models for long-term care programs • Use advanced analytical techniques and large datasets to evaluate costs, trends, and reimbursement outcomes • Assess how rate changes, policy updates, and cost drivers affect Managed Care Organizations (MCOs) • Translate business needs into clear data, system, and policy requirements • Research reimbursement methodologies, program operations, and the long-term care ecosystem to recommend improvements
🎯 Requirements
• 6+ years of experience in business analysis, financial modeling, or health policy analysis • Strong data expertise, including understanding how rate-setting decisions impact Managed Care Organizations (MCOs) • Experience interpreting public policy, preferably within healthcare and/or Wisconsin Medicaid • Understanding of the Long-Term Care (LTC) ecosystem, including program structures and reimbursement models • Advanced skills in Excel and/or analytical tools such as R, SAS, STATA, or SPSS • Ability to write and present comprehensive reports, analyses, and policy summaries
🏖️ Benefits
• Comprehensive health benefits • 401(k) employer match • Flexible vacation policy • Educational assistance • Leadership and technical development academies
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