Gainwell Technologies

Pharmacist

• supports efforts in the development of pharmacy solutions programs including prior authorization criteria development
• supports prospective and retrospective Drug Utilization Review (DUR) activities by reviewing physician prescribing patterns
• provides consultation on pharmacy-related issues to clinical operations representatives
• leads and/or supports operational initiatives and projects including strategic planning and implementation
• evaluates drug and drug class reviews based on sound, evidence-based research
• engages in discussions with practicing physicians and other prescribers to consult on specialty medication prescribing
• regularly reviews and monitors prescription claims data and identifies prescribing outliers
• works with Gainwell staff to contact prescribers requiring consultation

Clinical Pharmacist

Security Engineer

• overseeing a region of Security compliance advisors assigned to Gainwell state based customers
• act as subject matter expert, advisor and mentor in a HIPAA regulated Medicare, Medicaid and Health Care related product environment
• interact with account teams, Gainwell executive leaders and Gainwell customers
• audit management such as SOC 1, SOC 2, NIST 800-53

Senior Manager, Security Compliance

Software Engineer

• Participate in requirements gathering sessions to build Requirement Specification and Design Documents
• Prepare time estimates and justifications for assigned tasks
• Code, test, debug, implement and document moderately-complex to complex technical programs
• Participate in and conducts peer reviews as needed
• Evaluate existing systems and programs to recommend potential enhancements
• Liaise with clients and management to provide technical consulting on complex programming projects
• Provide leadership and guidance to less experienced developers

Senior Batch Developer, UNIX, C, SQL

Call Center Representative

• Handle inbound calls from members and providers, delivering accurate information related to healthcare benefits, eligibility, and services.
• Research and resolve inquiries efficiently while following established procedures and compliance guidelines.
• Document customer interactions clearly and accurately in multiple systems during live calls.
• Meet performance expectations including quality standards, service levels, and productivity goals.
• Contribute to a collaborative team environment focused on delivering reliable and responsive support.

Call Center Healthcare Representative

Support Engineer

• Application and operations support on cloud-based infrastructure in Azure and AWS
• Setup environment, deploy, and maintain .NET C# based applications in cloud environments
• Work closely with development and other support teams to troubleshoot and resolve application or infrastructure related issues
• Collaborate with end users to address application support needs and provide technical assistance
• Apply ITIL Service Management principles across Incident, Change, Problem, and Service Request Management
• Identify opportunities for process improvements and contribute to service delivery enhancements
• Participate in disaster recovery planning and support cloud security best practices

Cloud Application Support Analyst

Product Manager

• Owns, prioritizes, and maintains the product backlog
• Acts as the primary contact for stakeholders to translate business needs into detailed user stories
• Defines and communicates the product roadmap
• Works with developers to clarify requirements, prioritize bugs, and facilitate Agile ceremonies
• Accepts completed work and ensures the product meets regulatory requirements

Senior Product Owner

Project Manager

• Show that you are a PM pro as you support Gainwell in developing innovative, purpose-built technologies
• Lead small project management teams assisting in project managing components of a larger technological program
• Help oversee functional individual contributors on a project team by delegating work to others
• Manage project schedules and scope, assist in creating the project budget, oversee deliverables for quality
• Identify and mitigate risk through status reporting and project updates to ensure project timeliness and quality
• Manage client, company and project team expectations for performance by measuring and communicating project metrics

• Design, development, testing activities
• Supporting the full life cycle of development processes for creating services
• Investigating and resolve complex business and technical product integration matters of significance
• Functioning independently within a business area to influence technical decisions during various phases of the project
• Codes, tests, debugs, implements, and documents programs: C on Unix and Linux Oracle, SQL
• Research and analysis of existing systems and program requirements, under periodic supervision

Batch Developer, UNIX, C, SQL

Director

• Lead the vision, strategy, and execution of Medicaid FWA and pharmacy network management programs
• Drive initiatives that strengthen program integrity, optimize network performance, and meet state Medicaid expectations
• Monitor industry trends, regulatory changes, and emerging fraud schemes
• Manage and develop managers, analysts, investigators, and network operations staff
• Build a collaborative, high-performance culture with clear goals and professional growth opportunities
• Ensure teams operate with integrity, accountability, and operational excellence
• Oversee FWA detection, investigation, prevention, and reporting activities
• Partner with state agencies, law enforcement, and internal compliance teams on FWA matters

Director, Pharmacy Network

• Answer telephone calls using an automated system and respond to basic to moderately complex member questions
• Research member calls/inquiries and respond according to service level agreements (SLAs)
• Document calls in a customer relationship management (CRM) ticketing solution
• Resolve member requests/inquiries and update CRM history with results
• Conduct outbound calls to members in response to customer direction or business needs

Bilingual Call Center Representative

• Implement and support federated authentication and authorization integrations using OpenID Connect, OAuth 2.1, and SAML 2.0.
• Configure and maintain identity integrations for web, mobile, and API-based applications, including client registrations and trust relationships, token claims, scopes, and attribute mappings, certificates, signing keys, and rotation processes.
• Support application modernization efforts by migrating legacy authentication mechanisms to standards-based federation.
• Enable token-based access for APIs and distributed services.
• Support decoupled identity patterns for modern application architecture.
• Build and maintain CI/CD pipelines for identity configurations and integrations, including source control of identity artifacts, automated deployment and promotion between environments, validation and rollback of identity changes.
• Apply infrastructure-as-code or configuration-as-code principles to identity platforms where possible.
• Collaborate with application teams to implement identity integrations according to established patterns and standards.
• Troubleshoot complex authentication and authorization issues using logs, HTTP traces, and token inspection.
• Support operational identity activities such as incident response, certificate renewal, and configuration maintenance.
• Strong contribution to technical documentation, runbooks, and implementation guides.

Information Security Engineer

Architect

• Define the end-to-end application and solution architectures necessary to support customer initiatives and programs.
• Identify and address architecturally significant changes.
• Complete architecture impact assessments.
• Prepare technical documentation and present solutions to the Account Architecture Review Board (ARB).
• Assign architecture resources across a portfolio of projects and provide mentorship to junior staff.

Principal Application Architect

Designer

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Senior Application Designer

Technical Product Manager

• Develop and maintain strong relationships across product lines or business units, ensuring effective communication at all levels and fostering open dialogue with customers and stakeholders to identify and solve problems
• Oversee the entire product lifecycle, from idea intake to delivery of new products, capabilities, integrations, or other offerings
• Gain a deep understanding of customer experiences to develop technical and strategic roadmaps, providing oversight across all roadmaps
• Manage and prioritize ideas and enhancement requests from internal and external clients, influencing the roadmap when appropriate
• Lead and participate in business and industry workgroups, contributing meaningful input into product roadmaps and strategy
• Act as a thought leader by regularly researching, analyzing, and sharing industry highlights and insights that impact the company
• Develop and champion business cases for new initiatives, defining appropriate metrics and measurements for product success, value propositions, and value mappings
• Prioritize work to ensure development efforts focus on delivering the most impactful outcomes for business owners and stakeholders, aligned with required timelines and corporate objectives
• Collaborate with design, architecture, and engineering teams to ensure solutions address business problems identified in strategic initiatives and projects
• Work with business stakeholders to ensure proper requirement documentation, including those needed for system acceptance and adoptability
• Collaborate with Business Product Owners to ensure proper handoff of product enhancement and optimization requests
• Act as a trusted advisor to support key business units and customers in available product offerings
• Foster a collaborative environment for sharing knowledge, innovation, and learning across the organization
• Work with internal departments and/or customers to evaluate and improve the configuration and supportability of products
• Serve as a subject matter expert (SME) on assigned products
• Adhere to both internal and industry best practices and productivity metrics
• Perform other duties as assigned

Pharmacy Technical Product Owner

• Conduct scans (agent/network), analyze results (CVEs, CVSS), identify systemic issues, and perform risk assessments for complex environments (cloud, mobile, DB, OS)
• Define VM policies, improve posture, guide remediation, lead risk reduction initiatives, and serve as the subject matter expert for complex security vulnerability challenges
• Develops reports, dashboards, and alerts to automate tasks (Python, PowerShell), and track metrics.
• Monitor threat landscape, analyze new vulnerabilities (NVD, MITRE), and provide proactive guidance.
• Develops, tests and operates firewalls, intrusion detection systems, enterprise anti-virus systems and software deployment tools.
• Provides complex engineering analysis and support for firewalls, routers, networks and operating systems.
• Performs and evaluates vulnerability scans within a multi-platform, large enterprise environment.
• Reacts to and initiates corrective action regarding security violations, attempts to gain unauthorized access, virus infections that may affect the network or other event affecting security.
• Oversees user access process to ensure operational integrity of the system.