Gainwell Technologies

Business Analyst

• Lead and manage cultural transformation initiatives aligned with organizational objectives.
• Develop and execute strategies to improve communication, collaboration, and engagement across diverse teams.
• Provide coaching and guidance to employees and leaders on building and strengthening 'soft' skills, including adaptability, empathy, and interpersonal communication.
• Oversee communication projects that support cultural change and ensure consistency with organizational goals.
• Collaborate with technical and leadership teams to integrate cultural and behavioral considerations into process improvement efforts.
• Design and facilitate workshops, training programs, and engagement activities to promote a positive, inclusive, and innovative workplace culture.
• Monitor, evaluate, and report on the effectiveness of cultural transformation initiatives, recommending improvements as needed.

Senior Business Analyst – Communications Specialist

Learning and Development

• Design engaging, learner‑centered curriculum that supports workforce development and aligns with adult learning principles.
• Translate complex technical or operational information into clear, accessible learning experiences for diverse audiences.
• Collaborate with Subject Matter Experts (SMEs) to analyze learning needs and define measurable learning objectives.
• Develop high‑quality instructional materials, including facilitator guides, participant guides, eLearning modules, job aids, and assessments.
• Leverage data, learner feedback, and performance outcomes to evaluate and refine training materials.
• Ensure all instructional content meets organizational standards for quality, accessibility, and compliance.
• Coordinate with project teams to align training deliverables, timelines, and resource needs.

Senior Instructional Designer

Analyst

• Conduct investigative reviews and validations of healthcare and insurance-related cases
• Review, analyze, and interpret multiple documents quickly and accurately
• Validate information related to injuries, insurance coverage, and medical authorizations
• Update and maintain case data in internal systems, including Maestro
• Perform insurance verification and ensure proper documentation is on file
• Work closely with attorneys and internal teams to support investigations
• Ensure all case documentation meets quality, compliance, and audit standards
• Maintain accurate system documentation with minimal data entry but high verification requirements
• Support Alabama accounts and adhere to program-specific guidelines
• Meet productivity, quality, and performance metrics

Healthcare Investigations Analyst

• Coordinates moderately complex to complex activities of functional areas or of department account leads to ensure that business solution objectives are met.
• Interprets demand forecasts and assists functional areas or departments in planning and delivering end-to-end services.
• Oversees account specific service problems and the prioritization of work requests.
• Maintains records of expenditures to ensure that costs do not exceed approved budgets.
• Identifies and escalates issues related to budgetary compliance in relation to expenditures.
• Coordinates communications between functional areas or departments and clients to ensure that integration of new, enhanced and existing service offerings meet client specifications.
• Assists in developing new business proposals and introducing new technologies to enhance competitiveness of company products and services.
• Identifies service improvements to increase customer satisfaction.
• Communicates improvement needs to appropriate parties to ensure timely implementation and to maintain client satisfaction.
• Ensures delivery of projects meet client and company expectations and needs.
• Provides leadership and work guidance to less experienced personnel.

Service Level Agreement Analyst

Auditor

• Review medical claims, supporting documentation, and medical records to ensure completeness, accuracy, and compliance with company policies and industry standards
• Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines
• Interpret and analyze Explanation of Benefits (EOB) and UB-04 claim forms to verify correct billing and payment data
• Identify and document discrepancies such as duplicate claims, unbundled services, upcoding, and other billing errors
• Communicate audit findings and recommend corrective actions to the claims processing team or management
• Apply auditing methodologies and regulatory guidelines (CMS, Medicaid, Medicare, and payer contracts) to ensure claims integrity
• Support process improvements to enhance claim accuracy and reduce billing errors

Medical Claims Auditor

• Lead ABAP development efforts across SAP modules (ECC or S/4HANA).
• Collaborate with functional consultants and business stakeholders to understand requirements and translate them into technical specifications.
• Design, code, test, and debug custom SAP programs including reports, enhancements, forms, workflows, and interfaces.
• Guide and mentor junior ABAP developers, perform code reviews, and enforce best practices.
• Develop and maintain objects using: ABAP Objects (OOABAP), Smart Forms, SAPScript, Adobe Forms, Enhancements (User Exits, BADIs, Implicit/Explicit Enhancements), ALV Reports, BDC, LSMW, Interfaces using BAPI, IDoc, OData, RESTful APIs.
• Implement CDS views, AMDPs, and performance-tuned logic for SAP HANA-based systems.
• Ensure compliance with development standards, security, and performance tuning best practices.
• Participate in end-to-end project lifecycle including requirement gathering, solution design, unit testing, UAT support, and deployment.
• Work within Agile, Hybrid, or Waterfall frameworks as applicable.
• Support project planning, resource estimation, and timeline tracking.
• Proven experience in managing parallel project implementations and production support activities, ensuring timely resolution of Incidents and Service Requests, prioritization of work, and adherence to SLA and ITSM processes.

Senior SAP ABAP Consultant

Cloud Engineer

• design, implement, and maintain cloud infrastructure systems using Amazon Web Services (AWS)
• design and deploy applications utilizing the AWS stack (Including EC2, Route53, S3, Lambda, etc.)
• create and implement automation processes and standards for AWS cloud services
• ensure all infrastructure components meet proper performance and security standards
• collaborate with team members to improve the company’s engineering tools, systems and procedures, and data security
• conduct systems tests for security, performance, and availability
• develop and maintain design and troubleshooting documentation
• participate in the creation of new policies and procedures for cloud service use and compliance
• monitor infrastructure, systems operations, and critical application services
• provide reporting and metrics
• implement continuous integration/continuous delivery (CI/CD) pipelines when necessary
• keep up-to-date with the latest technologies and industry trends

Operations

• Provide oversight of major infrastructure projects, including transformational projects.
• Assist in keeping operational excellence projects moving as Gainwell helps clients deliver better health and human services outcomes through technology and innovation.
• Focuses on delivering large infrastructure projects and on identifying ways to improve infrastructure performance and/or reduce risk and costs.
• Lead one or more large project management teams by breaking down bigger technological programs and assisting project managers with project staffing.
• Oversee and be accountable for the Operational Excellence program.
• Spearhead project planning, tracking and oversight of assigned staff by providing direction and deadlines to ensure quality and timely completion of tasks.
• Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program changes as needed.
• Review and create project and program schedules, program definitions, budgets and objectives to ensure the quality of project deliverables across all phases.
• Support project managers and other non-direct reports by quickly escalating any risks and implementing risk mitigation solutions.
• Support Gainwell’s growth as you prepare detailed SOW and assist with new proposal efforts and business development.

Operational Excellence Program Leader

Customer Success Manager

• Communicates/interfaces regularly with client(s).
• Creates agendas and provides recaps for all client touchpoints.
• Analyzes and researches client(s) trends to identify performance gaps.
• Manages client relationship; responsible for ensuring client satisfaction.
• Builds relationships and supports collaboration between client engagement team, internal departments and operations staff.
• Handles client(s) invoicing & accrual tracking.
• Ensures timely deliverables are sent to client, examples include: solution deliverable files, reporting, invoices and backing detail, etc.
• Directs Gainwell contract operations to ensure successful delivery of services to client(s) and all SLAs are met.
• Assists Account Director with managing budget and revenue expectations for assigned client(s).
• Works with client(s) to develop project approach and implementation plans and collaborates with internal teams to oversee development and implementation.
• Identifies and continually seeks new sources of revenue.

Client Engagement Manager II

• Analyzes learning needs and consults with subject matter experts to provide input for course design and content.
• Applies instructional design methods and adult learning principles to ensure that course design and content meet learning goals.
• Creates outlines and scripts that provide program structure.
• Creates effective learning solutions in a profitable manner.
• Works with management and subject matter experts to ensure that course materials are current and relevant to learning needs.
• Designs and develops computer-based instructional programs.
• Facilitates course delivery during the introduction of new courses to ensure proper delivery of new training materials and monitors early feedback for course improvement.
• Provides direction and guidance to instructors to ensure that courses are conducted as designed.
• Plans and coordinates skill assessments and testing to measure participant retention.
• Tracks and analyzes learning programs by examining course evaluations, proficiency testing and job performance to identify program effectiveness. Makes changes or enhancements as appropriate.

Professional Instructional Designer

Call Center Representative

• Contribute your skills as a Call Center representative at Gainwell
• Harness technology to help clients improve health and well-being
• Support diverse customer needs through strong communication
• Adaptability and positivity in customer interactions

Collections

• Conduct outbound and inbound collection calls using automated systems to assess account status and support resolution
• Document all communications and updates accurately to maintain account history and compliance records
• Verify loan or account details, ensuring proper authorization and adherence to client specifications
• Facilitate customer payments through approved systems and assist with repayment arrangements as needed
• Maintain accurate customer data and process updates to ensure timely and correct account information

Collections Specialist

• Deliver exceptional customer service and accurate information to providers, members, and internal partners
• Demonstrate professionalism, empathy, and active listening in every call or written interaction
• Use Gainwell’s systems to research, document, and resolve inquiries efficiently and accurately
• Follow established procedures and compliance guidelines to meet quality and service level standards
• Participate in team meetings, training, and feedback sessions to continuously improve performance

Director

• Enhance and enforce software delivery lifecycle (SDLC) methodologies across projects
• Develop and maintain transformation roadmaps and scorecards to measure progress and impact
• Design, implement, and maintain playbooks that define 'how work gets done' across delivery teams
• Create dashboards and metrics to monitor delivery performance and transformation outcomes
• Collaborate with internal teams and client stakeholders to align on delivery goals and transformation priorities
• Mentor and guide delivery teams to adopt best practices and embrace change

Director, Plan and Care Management

• Supervise the receipt of mail and claims
• Claim processing, calculation, payment and reporting of monthly claims
• Supervise Claim and Mailroom staff and implement plans to achieve goals
• Conduct Claim/Mailroom team meetings
• Identify and coordinate training needs, administer performance evaluations

Senior Business Analyst – Communications Specialist

Senior Instructional Designer

Healthcare Investigations Analyst

Service Level Agreement Analyst

Medical Claims Auditor

Senior SAP ABAP Consultant

Cloud Engineer

Operational Excellence Program Leader

Client Engagement Manager II

Professional Instructional Designer

Call Center Representative

Collections Specialist

Call Center Representative

Director, Plan and Care Management

Claims Operations Supervisor