
10.000+ Mitarbeiter
⚕️ Krankenversicherung
💰 Grant im 2023-06
Healthcare Insurance • Human Services • Healthcare
Gainwell Technologies ist der führende Anbieter von digitalen und cloud-fähigen Lösungen im Bereich der Human Services und der öffentlichen Gesundheit in den USA. Mit einem zielorientierten Ansatz bedient Gainwell Kunden in allen 50 US-Bundesstaaten und konzentriert sich darauf, Gesundheitsergebnisse zu verbessern und intuitive, menschzentrierte Erfahrungen zu bieten. Ihr umfassendes Lösungsspektrum umfasst die Modernisierung von Medicaid Enterprise, Datenanalysen, Anbieter-Dienstleistungen und Apothekenlösungen, die alle darauf ausgelegt sind, die Zukunft des Gesundheitswesens voranzutreiben und das Wohl der Gemeinschaft zu verbessern.
🕒 vor 1 Monat
🗣️🇺🇸🇬🇧 Englisch erforderlich
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10.000+ Mitarbeiter
⚕️ Krankenversicherung
💰 Grant im 2023-06
Healthcare Insurance • Human Services • Healthcare
Gainwell Technologies ist der führende Anbieter von digitalen und cloud-fähigen Lösungen im Bereich der Human Services und der öffentlichen Gesundheit in den USA. Mit einem zielorientierten Ansatz bedient Gainwell Kunden in allen 50 US-Bundesstaaten und konzentriert sich darauf, Gesundheitsergebnisse zu verbessern und intuitive, menschzentrierte Erfahrungen zu bieten. Ihr umfassendes Lösungsspektrum umfasst die Modernisierung von Medicaid Enterprise, Datenanalysen, Anbieter-Dienstleistungen und Apothekenlösungen, die alle darauf ausgelegt sind, die Zukunft des Gesundheitswesens voranzutreiben und das Wohl der Gemeinschaft zu verbessern.
• Manages functional areas or department account leads on large accounts to ensure that business solution objectives are met. • Identifies and manages the implementation of process improvements. • Manages and develops demand forecasts with account teams on large accounts to assist functional areas or departments in planning and delivering end-to-end services. • Identifies issues and recommends alternative approaches. • Works with functional areas or departments to interpret and plan projects or workload forecasts. • Provides advice and counsel regarding various results. • Prepares, recommends and oversees development of operating and personnel budgets. • Monitors spending for adherence to budget plans, develops and recommends variances. • Performs and/or oversees budget analysis. • Manages and approves expenditures for accounts in line with established policies and procedures. • Manages complex relationships between delivery and consumer groups to ensure good client relations. • Resolves issues and determines and implements appropriate course of action. • Identifies and manages service improvements to increase customer satisfaction. • Manages and ensures delivery of projects meet client and company expectations and needs. • Partners with functional areas or departments to integrate new, enhanced and existing service offerings for accounts. • Participates in developing new business proposals and introduces new technology to enhance business solutions. • Selects and hires employees. • Trains and evaluates employees to enhance their performance, development, and work product. • Addresses performance issues and makes recommendations for personnel actions. • Motivates and rewards employees including providing salary increases, bonuses and promotions within allocated budgets and company guidelines.
• 13 or more years of Leading end to end pharmacy testing strategy and execution across SIT, UAT, Parallel, regression and automation for large scale Medicaid PBM implementations. • Own quality outcomes for pharmacy solutions, including claims (NCPDP D.0/F6), PDLs, DUR, rebates, encounters, and financial cycles. • Provide senior level oversight of multi vendor, onshore/offshore testing teams, driving clear accountability, defect ownership, and delivery excellence. • Partner closely with Product, Business, State to validate requirements, ensure regulatory compliance, and support production ready outcomes. • Establish and report testing KPIs, quality metrics, and executive dashboards; proactively identify risks, dependencies, and mitigation plans.
• generous, flexible vacation policy • educational assistance • comprehensive health benefits • leadership and technical development academies
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