Gainwell Technologies

Representative

• supports the provider community in a variety of areas including but not limited to virtual and onsite visits, claims follow up and research support, as well as virtual and face-to-face training development and delivery
• performs routine to complex tasks that are related to provider claiming, program policies, and training
• provides training (workshops, seminars, program specific group events) to the provider community and acts as liaison with internal departments and the customer
• provides one-on-one billing support, claim research and analysis, and targeted outreach to providers; supports provider association inquiries and events
• acts as an escalation point for internal claims staff
• liaises with internal departments and the client to ensure that all provider concerns are resolved in a timely and efficient manner
• applies knowledge of established policies and procedures to resolve provider issues, and to work with the customer to ensure compliance
• exercises independent judgment within defined practices and procedures to define appropriate actions

Provider Field Representative

Software Engineer

• Reviews codes, tests done, documents and implements programs according to specifications
• Provides moderately complex to complex technical and production support to end-users
• Participates in and conducts peer reviews
• Participates in creating unit and other test plans for assigned programming tasks
• Provides leadership and work guidance to less experienced personnel
• Reviews and analyses writing program specifications
• Recommends changes to client software based on client feedback, language changes and new technology

Senior Application Developer

Business Analyst

• Serve as the functional lead supporting Wisconsin's Children's Long-Term Support (CLTS) program.
• Act as the primary liaison between Wisconsin DHS, business stakeholders, project teams, and technical resources.
• Lead and coordinate operational initiatives, maintenance activities, enhancements, change requests, and project-related work from initiation through implementation and closure.
• Facilitate requirements elicitation sessions, business process reviews, solution discussions, stakeholder meetings, and client-facing presentations.
• Own and manage a portfolio of operational work, ensuring accurate status tracking and timely progression through established lifecycles.

Senior Business Analyst – CTLS Business Lead

Backend Engineer

• Lead and/or participate in Joint Application Design sessions (JAD) with Stakeholders
• Create technical design documents that include UML diagrams
• Rapid prototyping and presenting conceptual design to the client
• Design, develop, document, test, and debug new and existing large-scale web applications
• Monitor and troubleshoot web applications, diagnose errors, and implement fixes
• Liaise with clients and management to provide technical support on complex programming projects
• Participate in QA activities such as technical design and code walkthroughs
• Keep up to date on best practices and new technologies.

.NET Web Developer

Call Center Representative

• Provide knowledgeable responses to basic client questions; elevate complex cases to appropriate staff
• Solve client problems, update account history and follow up with clients
• Adhere to client SLAs and consistently meet production targets
• Collaborate with team members, management and clients to resolve inquiries
• Recommend changes to procedures and workflow

Healthcare Contact Center Agent

Security Engineer

• accountable for all security-related compliance and delivery for the customers assigned
• operate as a trusted advisor in the organization, working with senior management
• focus specifically on health care industry regulated security requirements
• work with the leadership team to identify issues and concerns
• conduct, provide, and report on threat and vulnerability management
• maintain an account system security plan and manage security incidents
• ensure audit preparation, facilitation, and remediation
• coordinate delivery of Security Metrics and Reporting in support of contractual commitment

Information Security Officer, ISO

Trainer

• Deliver engaging and interactive training sessions to diverse audiences across virtual, classroom, and on-the-job learning environments.
• Facilitate training programs that build employee knowledge, skills, and performance while adapting delivery methods to different learning styles and needs.
• Collaborate with instructional designers and business partners to ensure training materials are effective, accurate, engaging, and user-friendly.
• Provide post-training support, coaching, resources, and guidance to reinforce learning and improve employee performance.
• Evaluate training effectiveness through learner feedback, surveys, assessments, and performance metrics while supporting training transformation and system implementation initiatives.

• Apply your skills to support Gainwell as we help clients deliver better health and human services outcomes.
• Lead and mentor a team of technical professionals to deliver high-quality solutions.
• Oversee end-to-end software development lifecycle (SDLC), ensuring adherence to best practices and timelines.
• Manage change control processes and ensure smooth implementation of system updates.
• Collaborate with cross-functional teams to gather requirements, define solutions, and ensure alignment with business objectives.
• Conduct critical analysis and problem-solving to address complex technical and functional challenges.
• Support and enhance existing C/Unix-based applications and systems.
• Drive continuous improvement in release cadence and operational efficiency.
• Contribute to strategic planning and roadmap development for technical initiatives.
• Strengthen our capabilities as you design, develop, install, test and document applications software — including server, client and web components.
• Play a vital role in designing, documenting and 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.
• Define and develop project requirements, functional specifications and detailed application solution designs for clients.
• Focus on the details as you develop technical documentation and test plans to support integration and deployment.
• Advance key goals and objectives for Gainwell and our clients by working closely with software developers.

Advisor Programmer Analyst – Batch, UNIX, C

Claims Specialist

• Review, research, and resolve medical and dental claims in accordance with established processing guidelines and procedures.
• Analyze claims issues and collaborate with internal departments to ensure timely and accurate resolution.
• Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations.
• Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.

Medical Claims Resolution Analyst

Learning and Development

• Create engaging instructional materials for eLearning, virtual classroom, and instructor-led training environments
• Partner with subject matter experts and stakeholders to conduct needs assessments and identify learning objectives
• Develop storyboards, course content, learning activities, assessments, and supporting materials
• Create interactive, visually engaging, and accessible digital learning experiences using eLearning authoring tools
• Manage multiple instructional design projects and priorities while improving content and methodologies

Instructional Designer

• analyze this and help create innovative technologies
• investigate, analyze, and solve business challenges
• bridge the gap between business and technology
• document and evaluate business processes
• validate solutions through testing and analysis
• grow skills and career through collaboration

Project Manager

• Assist in keeping projects moving to deliver better health and human services outcomes
• Lead one or more large project management teams as they tackle technological programs
• Spearhead project planning, tracking and oversight of assigned staff
• Communicate with client, company and project team leadership to share project metrics
• Create project schedules, program definitions, budgets and objectives
• Actively project manage across non-direct reports, escalating risks and implementing mitigation solutions
• Support growth by preparing detailed SOW and assisting with new proposal efforts

Project Management Advisor

Associate

• Perform complex standard and non-standard processing, quality reviews, analyses, audits, reconciliations, and reporting activities in support of outsourced services
• Apply knowledge of client operations and market dynamics to identify issues, recommend and implement workflow improvements, and support efficient, effective transaction processing
• Research and resolve operational issues, interface with management and clients regarding resolutions, and assist with the implementation of approved process changes
• Support the development, documentation, and maintenance of standard operating procedures while ensuring compliance with company confidentiality, security, and policy requirements
• Provide leadership and guidance to team members through training, work delegation, activity monitoring, scheduling coordination, prioritization of workloads, and ongoing support of operational objectives

Associate Service Delivery Coordinator

QA Engineer

• Performs complex standard and non-standard processing and quality tasks in support of outsourced services within a specific industry and functional area
• Demonstrates knowledge and skills in a variety of assigned work processes
• Applies knowledge to ensure best practice procedures and continuous process improvement
• Identifies issues and reviews, recommends and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions
• Performs analyses and reports findings
• Maintains log records of pertinent data and provides periodic status reports
• Prepares standard and adhoc reports for management and clients
• Researches problems and follows up with the client regarding resolution
• Interfaces with management and clients to resolve issues and assists in implementing same as approved
• Supports development and documentation of new or revised standard operating procedures
• Handles company confidential data according to policy and guidelines
• May provide leadership and work guidance to less experienced personnel
• Monitors daily activity of employees to ensure policy and procedures are being followed

Provider Enrollment Quality Assurance Analyst

• Provide knowledgeable responses to basic client questions
• Elevate more complex cases to appropriate staff as needed
• Update account history and follow up with clients
• Collaborate with team members, management and clients to resolve client inquiries
• Cross-train new resources in customer service processes