Gainwell Technologies

Manager

• Deliver all required services in accordance with new commercial business contracts and work with sales to continue to expand and grow that business.
• Manage a team of subrogation professionals to achieve subrogation recoveries in accordance with revenue goals for commercial clients.
• Ensure that the team is performing in accordance with all productivity, quality, and compliance goals.
• Manage a departmental budget by managing staffing and other resources and developing innovations, automations, and processes/workflows which allow us to work smarter and meet all client deliverables.
• Provide training, coaching and mentoring of staff as appropriate.
• Work with internal legal department to ensure that the staff is aware of legal doctrines, and rules and regulations that impact the various lines of business in commercial subrogation.
• Act as an escalation point for internal teams and external clients to ensure a high level of customer satisfaction.

Commercial Subrogation Manager

AI Engineer

• Architect and maintain AWS demo environments using services such as EC2, ECS/Fargate, Lambda, S3, RDS, DynamoDB, IAM, KMS, API Gateway, CloudWatch, and AWS Glue.
• Develop Python-based solutions leveraging libraries like NumPy, Pandas, Scikit-learn, and others for data processing and automation.
• Build and manage Terraform modules for automated provisioning, environment resets, and decommissioning.
• Integrate AWS GenAI services (Bedrock, SageMaker) for real-time demo enrichment and scenario automation.
• Collaborate with Demo COE and Product SMEs to design and implement custom demo flows.
• Implement RBAC, feature toggles, and configuration management using AWS Systems Manager and AppConfig.
• Ensure environmental health through automated monitoring, alerting, and load testing (CloudWatch, ALB, X-Ray).
• Support automated QA gates, metrics collection, and post-demo knowledge management.
• Provide secondary support for data engineering tasks (AWS Glue, Redshift, Athena) for ingestion and transformation.
• Contribute to hybrid cloud demos and integrations with Azure as needed.

AWS Gen AI Engineer

• Serve as overall solution lead for SAP Fieldglass implementations and ongoing support.
• Own end-to-end delivery across:
• Contingent Workforce Management (CWM)
• Statement of Work (SOW) / Services Procurement
• Worker Profile Management
• Lead requirement gathering, solution design, configuration, testing, deployment, and hypercare.
• Define and enforce global Fieldglass design standards and governance.
• Lead multiple concurrent Fieldglass implementation projects across regions.
• Manage project milestones, dependencies, risks, and escalations.
• Ensure on-time, on-budget delivery while maintaining high-quality outcomes.
• Support rollouts, upgrades, and new module enablements.
• Design and support end-to-end integrations between SAP Fieldglass and:
• SAP S/4HANA (Finance, Procurement, Payments)
• SAP SuccessFactors (Employee Central, Worker data)
• External vendor systems and middleware (SAP CPI / PI).
• Provide L3/L4 support for complex Fieldglass issues in a production environment.

Lead Consultant, SAP Fieldglass

Customer Support

• Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
• Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved
• Adhere to the client’s SLAs and consistently meet production targets
• Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
• Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow

Senior Customer Support

Call Center Representative

• Deliver engaging and interactive training sessions to new and existing call center agents.
• Facilitate virtual training programs to enhance employee skills and performance.
• Adapt training delivery to various learning styles and needs.
• Collaborate with training team and SMEs to ensure training materials are effective and user-friendly.
• Provide post-training support and resources to learners and call center leadership.
• Assess training outcomes through surveys, feedback, and performance metrics.

Call Center Professional Trainer

Engineer

• Develop, implement, and maintain identity and access management solutions and systems
• Troubleshoot, identify, and resolve technical identity and access management related issues
• Improve identity and access management solutions and systems for protection against evolving threats and efficiency
• Coach other members of the organization on best practices in identity and access management
• Stay up-to-date on current IAM threats and industry solutions

Advisor, Identity & Access Management Engineer

• Assisting members applying for Medicaid services through the member portal
• Providing friendly and general technical support to the callers as they navigate through the online application
• Assisting with user/password resets
• Entering data sent in by the members to assist in determining eligibility
• Handling company confidential data according to policy and guidelines

• Lead a team that converts customer and interaction data into measurable business improvement.
• Oversee and guide your team to deliver superior insight capabilities, operational reporting, and CX analytics.
• Manage the performance and engagement of your staff to optimize processes and maintain the highest quality standards in insight generation.
• Support account leadership, operational leaders, and internal business partners in achieving or exceeding organizational goals.
• Build, develop, and lead teams responsible for CX listening, interaction analytics, and insight delivery.
• Guide the creation of journey‑level views of the customer experience by stitching together structured and unstructured data across channels.
• Establish and lead routines that leverage reporting and insight tools to drive performance and ensure actionable, decision‑ready insights.
• Partner with business, CX, and operations leaders—including WFM, Training, and QA stakeholders—identify opportunities to improve delivery of operational products, services, and capabilities.
• Drive operational excellence by adopting standard operating procedures and establishing clear metrics, insight narratives, and reporting standards.
• Own the insight‑to‑action lifecycle, including prioritization, delivery, adoption, and impact tracking.
• Lead executive readouts, presenting findings, implications, and recommended actions.
• Create conditions for team success by removing obstacles and championing change.
• Identify and manage existing and emerging risks and implement strategies to mitigate them.

CX Insights Manager

Learning and Development

• Deliver engaging and interactive training sessions to diverse audiences.
• Design and develop engaging instructional materials for eLearning, virtual classrooms, and instructor-led training.
• Facilitate virtual, classroom, and on-the-job training programs to enhance employee skills and performance.
• Adapt training delivery to various learning styles and needs.
• Create storyboards, course content, and assessments aligned with organizational goals.
• Ensure training materials are interactive, visually appealing, and accessible.
• Provide post-training support and resources to learners.
• Assess training outcomes through surveys, feedback, and performance metrics.

Professional Trainer – Instructional Designer

Financial Planning and Analysis

• Process payment transactions, adjustments, and recoupments in MMIS and related financial systems.
• Execute operational financial activities tied to scheduled financial cycles, including payouts and recoveries.
• Generate, review, and reconcile operational financial reports to validate transaction accuracy.
• Issue and track manual checks and wire payments for provider or client reimbursements.
• Participate in operational projects, system enhancements, and process improvement initiatives as assigned.

Financial Operations Associate

Operations

• Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions
• Share your expertise as you support the Business Process Services team in claims processing
• Meet production and quality requirements established by clients for timely claims processing
• Use policy guidelines and criteria established by leadership to evaluate claims and make adjudication decisions

Prior Authorization Operations Associate

Software Engineer

• Apply your skills to support Gainwell as we help clients deliver better health and human services outcomes.
• Support of COBOL mainframe environment.
• Design, document, and coordinate desired changes to legacy modules.
• Develop, install and evaluate application software on the mainframe.
• Involved in delivering technical architecture solution elements.
• Support coordination between application architects and developers to make sure design requirements are accurate and deliver the desired ROI for clients.
• Analyze and estimate feasibility and compatibility with other programs and projects.
• Provide quality control for project deliverables.
• Defines designs and develops highly complex systems requirements.
• Evaluates, test, debugs and implements applications programs in support of client needs.
• Assesses architecture and current hardware limitations, defines and designs highly complex system specifications, input/output process and working parameters for hardware/software compatibility.

Senior Mainframe Programmer, COBOL, CICS, DB2

• Handle high-volume inbound call center inquiries related to Medicaid billing and coverage for the Kentucky Medical Assistance Program.
• Communicate clearly and professionally by phone while accurately documenting calls in a call tracking management system.
• Review, interpret, and apply Medicaid policies, regulatory guidelines, and procedural documentation during customer interactions.
• Manage multiple active cases and calls while maintaining accuracy, time management, and follow-through.
• Meet established call center performance, quality, and documentation standards.

Customer Support Associate

Business Analyst

• Lead development, maintenance, and enhancement activities for the adult LTC provider enrollment system based on policy, regulatory, and contractual changes.
• Review, analyze, and interpret statutes, regulations, and policies to develop system requirements and technical specifications.
• Coordinate system design, testing, implementation, and validation with internal teams and contractors.
• Serve as the technical subject-matter expert on adult provider enrollment, MCO Provider Network data, Medicaid Provider Extracts, and related interfaces.
• Investigate and resolve system, interface, and data integrity issues.
• Develop SAS, MMIS, CARES, and related data queries; validate and interpret results; prepare data in formats usable for leadership and program staff.
• Produce standard and ad‑hoc reports, charts, tables, analyses, and presentations.
• Conduct data trend analysis and recommend improvements for system performance and data quality.
• Provide technical guidance and consultation to internal staff, leadership, vendors, and external stakeholders.
• Ensure data handling and releases comply with HIPAA requirements.
• Support special projects, vendor demonstrations, research activities, and adoption of new data tools.

Advisor Business Analyst – Quality & Oversight

• Own CX onboarding and offboarding execution for employees and contractors supporting CX accounts, including reporting and tracking.
• Coordinate with CX Delivery leadership, IT, Security, Training, and HR systems partners to ensure timely onboarding and separation.
• Order and track equipment delivery as part of the onboarding process.
• Support the return of equipment during the offboarding process.
• Serve as an escalation point for complex, urgent, or high-risk onboarding and offboarding scenarios.
• Ensure role-based access alignment and validate access completion prior to training or production readiness.
• Maintain CX onboarding, offboarding, and identity management process documentation and standards.
• Identify operational risks, gaps, and inefficiencies that will drive continuous improvement initiatives.
• Provide guidance and mentoring to associate-level onboarding and offboarding candidate care coordinators.