Gainwell Technologies

Call Center Representative

• 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

Healthcare Contact Center Agent

Data Analyst

• designing, computing, validating, and explaining healthcare quality measures
• serving as a subject‑matter expert for PCMH measures
• implementing and maintaining measure logic across annual specification updates
• ensuring data quality and methodological integrity
• supporting internal reviews, client reporting, and audit inquiries

Experienced Data Analyst

Project Manager

• Support Gainwell in developing innovative, purpose-built technologies and solutions
• Lead project management teams on components of a larger technological program
• Help oversee functional individual contributors by delegating work and providing direction
• Manage project schedules and scope, assist in creating the project budget
• Identify and mitigate risk through status reporting and updates
• Manage client, company, and project team expectations for performance
• Prepare detailed SOW for clients and gain acceptance and stakeholder approval

Advisor

• Designing and delivering high-quality, scalable Medicaid Drug Rebate applications
• Leading efforts to optimize complex workflows and creating intuitive interfaces
• Collaborating with various teams across the company’s Pharmacy enterprise
• Supporting the drug rebate solution for state clients in maintenance and operations
• Providing expertise to internal and external stakeholders
• Developing and providing technical documentation and overseeing test-plan development

Medicaid Drug Rebate Product Advisor

• Support Gainwell in developing innovative, purpose-built technologies and solutions
• Lead small project management teams assisting in project managing components of a larger technological program
• Help oversee functional individual contributors on a project team
• Manage project schedules and scope, assist in creating the project budget
• Identify and mitigate risk through status reporting and project updates
• Prepare detailed SOW for clients; gain acceptance and stakeholder approval

Support Engineer

• Monitors and tracks operational projects across multiple business units to ensure timely completion and compliance with contractual requirements.
• Conducts data analysis, auditing, and reporting to identify trends, maintain accuracy, and provide actionable insights for leadership and clients.
• Collaborates with cross-functional teams and clients to research and resolve operational issues, implement process improvements, and support the development of standard operating procedures.
• Maintains confidentiality of sensitive information, adheres to security policies, and demonstrates expertise across a variety of operational processes.

Operations Analyst

• play a critical role in designing and delivering high-quality, scalable Medicaid Drug Rebate applications
• lead efforts to work with development and product teams to optimize complex workflows
• creating intuitive, accessible, and visually compelling interfaces
• work will go beyond functionality—focused on crafting seamless, human-centered digital experiences
• supports the drug rebate solution for state clients in maintenance and operations
• collaborate with other stakeholder groups across the company’s Pharmacy enterprise
• works with product development teams and senior designers in developing design requirements

• Assists in establishing objectives for small to medium sized projects to achieve business results by established, critical dates.
• Assists in coordinating deliverables for small to medium sized projects.
• Ensures adherence to schedules, deadlines, and products.
• Escalates matters of significance as appropriate.
• Assists in monitoring and redefining project objectives to respond to changes in the business environment.
• Provides requested data or information to support changes.
• Assist in coordinating inter-project dependencies, resource allocation, release planning, technology and architecture to meet business needs.
• Assists in planning, coordinating, and monitoring of the budget for a small to medium sized projects to ensure cost effectiveness.
• Monitors progress of project requirements and provides reports/updates to appropriate management, boards and committees, and business function managers to support projects in achieving the intended business results.
• Interacts with client program sponsor and program steering board to communicate program issues and progress.
• Assists in coordinating change in project direction, scope, benefits, costs, and timing while minimizing financial risks.
• Ensures adherence to same.

Associate Professional – Project Management

Business Analyst

• Analyze business needs and create innovative solutions
• Collaborate with business analysts making client recommendations
• Translate client business needs into simpler language
• Help analyze and document systems requirements and business processes
• Verify that requirements are built into the system design
• Be part of technical reviews and inspections
• Expand technical skills in software applications such as Microsoft Excel, SQL, or Visio

Associate Business Analyst

Full-stack Engineer

• Interface with technical team and client to gather technical specifications for technical design and delivery of the final solution
• Code, test, debug, implement and document moderately complex programs
• Designs, develops, and maintains data processing applications which meet customer business needs and technical considerations
• Prepares system documentation
• Participates in code review

Senior Batch Developer – Linux, C, SQL

• Analyze claims data to identify denial trends and operational bottlenecks
• Perform in-depth investigation of complex claims issues, determining root causes
• Provide actionable recommendations to support issue resolution, enhancements, and system improvements
• Collaborate with cross-functional teams to reconcile claims outcomes
• Develop reporting, dashboards, and monitoring tools for leadership decision-making

Experienced Claims Business Analyst

Backend Engineer

• Provides senior-level application analysis, design, development, integration, and support for the healthcare transaction platform and related Medicaid pharmacy systems.
• Lead design, development, testing, and deployment of NCPDP F6 transaction processing solutions.
• Analyze business and technical requirements and translate them into scalable application designs.
• Develop and maintain APIs, interfaces, batch processes, and data integrations.
• Perform code reviews and ensure adherence to Gainwell development standards.
• Support defect resolution, root-cause analysis, and production issue management.
• Collaborate with architects, business analysts, QA teams, and client stakeholders.
• Participate in Agile ceremonies and provide technical estimates and work planning.
• Create technical documentation, support guides, and knowledge-transfer materials.

Advisor Application Developer – Java, .NET, EDI, Pharmacy, NCPDP

Technical Writer

• Researches, writes, edits, and proofreads more complex technical data for use in documents or sections of documents such as manuals, procedures and specifications
• Assists in establishing style guidelines and standards for texts and illustrations to meet business needs
• Interviews programmers, engineers, developers, and other technical personnel
• Reads previous documentation and design notes, and uses computer based training or company technical products to gather and research technical information for use in more complex documentation
• Writes, organizes, enters and compiles more complex online help files to support end users
• Creates, compiles, and delivers more complex system/software developmental documentation packages
• Assists in creating project plan for completing documentation
• Provides leadership and work guidance to less experienced personnel

• Supporting business, policy, and technical execution across functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment.
• Ensuring solutions align with CMS guidance, state policy, and documented business rules.
• Leading and participating in requirements and design sessions with clients and internal teams to validate functional and technical needs.
• Interpreting federal and state Medicaid policies and translating them into system configuration, product features, business rules, and design artifacts.
• Developing and maintaining domain design documentation, including a comprehensive Design Document covering workflows, interfaces, X12 EDI transactions, letters, and reports.
• Supporting operational readiness across environments, data, processes, and staffing.

Healthcare Contact Center Agent

Experienced Data Analyst

Healthcare Contact Center Agent

Project Manager

Medicaid Drug Rebate Product Advisor

Project Manager

Operations Analyst

Medicaid Drug Rebate Product Advisor

Associate Professional – Project Management

Associate Business Analyst

Senior Batch Developer – Linux, C, SQL

Experienced Claims Business Analyst

Advisor Application Developer – Java, .NET, EDI, Pharmacy, NCPDP

Technical Writer

Senior Business Analyst – Provider