Gainwell Technologies

Designer

• Head up workstreams to design, develop, test and install complex applications software that spans server, client and web components
• Help guide closer connections between application architects and developers to ensure design requirements are accurate and deliver a solid ROI for clients
• Show your skill at writing highly complex design, coding and testing documentation to create a technical product that meets client expectations
• Perform vital development, domain, application design, web service and database methodologies, and best practices provided by the project advisor and/or architect
• Serve as a technical consultant to senior management for complex projects — from modifying existing apps to designing new application modules and components

Senior Application Designer

• Help design, develop, install, test and document applications software — including server, client and web components
• Play a role in the design, documentation and delivery of technical architecture solution components
• Build the connections between application architects and developers to ensure the accuracy of design requirements and deliver ROI for clients
• Focus on the details as you help define and develop project requirements, functional specs and application solution designs for clients using the proper development methodologies and industry standards
• Play a role in developing technical documentation and test plans, and support integration and deployment
• Be part of a team of software developers who are helping advance Gainwell and client objectives

Application Designer – Early Career

Software Engineer

• Code, test, debug, implement, and document low to moderately complex programs
• Create appropriate documentation in work assignments such as program code and technical documentation
• Design systems and programs to meet business needs
• Prepares detailed specifications for programming
• Ensure programs meet standards and technical specifications
• Gather information from existing systems, analyses program and time requirements

Senior Batch Developer – UNIX, C, SQL, Claims

Support Engineer

• Support operational and technical activities while reporting to the Operations Manager
• Analyze, design, and implement process improvements using data and technology
• Evaluate current processes, identify gaps, and deliver scalable solutions
• Provide hands-on IT and programming support as needed
• Communicate technical processes (data transfers, systems, phone/voice platforms) clearly
• Contribute to the development and improvement of technology products and applications
• Support TPL (Third Party Liability) operational practices
• Lead cross-functional initiatives and ensure alignment with business strategy
• Develop metrics, perform root cause analysis, and track performance improvements
• Act as a liaison across teams for process improvement and systems integration
• Deliver presentations, training, and updates to stakeholders
• Assess risks, timelines, and costs for transformation initiatives

Senior Technical Analyst

Analyst

• Conduct FWA audits and investigations, including medical record review, coding validation, and claims analysis
• Prepare high-quality written audit findings, referrals, and overpayment recommendations with clear, defensible rationale
• Communicate audit results to clients professionally and confidently
• Review claims, billing practices, and medical documentation to identify improper payments, aberrant patterns, and potential fraud schemes
• Support referrals to state agencies, OIG, MFCU, or law enforcement and assist in testimony preparation as needed
• Research applicable billing, coding, and reimbursement rules to ensure findings align with Medicaid policy
• Manage a caseload independently, ensuring accuracy, timeliness, and contractual SLA compliance
• Provide subject-matter guidance to internal teams regarding FWA trends, audit standards, and industry best practices

Senior Payment Integrity Investigator

• Performing quality assurance activities for medium to large software development projects
• Gathering and clarifying testing requirements
• Documenting those requirements
• Performing the testing process
• Certifying solutions
• Writes and reviews test conditions and scripts
• Ability to read logical and physical database model diagram
• Understands RDBMS concepts, writes SQL to update and manage relevant table data
• Deploys incremental software builds to test environments
• Performs smoke test of the builds
• Performs functional, regression test
• Assists the Quality Assurance supervisor and the development staff to troubleshoot and pinpoint source of problem found in testing
• Documents release notes and deployment instructions for the stakeholders

Senior Quality Analyst

Operations

• Own end-to-end Gainwell system availability, performance monitoring, and operational continuity.
• Enforce defined escalation paths across L1–L5 tiers, ensuring no ownership gaps.
• Lead Root Cause Analysis (RCA) and implement permanent corrective actions for all major incidents (P1/P2).
• Maximize system updates, patches, and troubleshooting efforts.
• Responsible for defect tracking (PROD and non-PROD).
• Ensure system observability and lead rapid triage during outages or degradation events.
• Maintain operational compliance with HIPAA, state/federal policies, and internal audit controls.
• Guide infrastructure modernization initiatives such as cloud-readiness, refactoring, virtualization, and platform reengineering.
• Collaborate with architects and engineering teams to align with SOA, DevOps, and enterprise integration best practices.
• Implement security best practices, including access controls, data protection, SOC audits, and help with disaster recovery planning and execution.
• Coordinate with teams to remediate Security Vulnerabilities across systems.
• Champion technical innovation and recommend solutions to increase scalability, security, and automation.
• Lead the design, implementation, and continuous improvement of ITSM processes, leveraging the ITIL4 framework.
• Supervise Incident, Problem, Change, and Service Request Management across all system tiers.
• Responsible for MIM reporting and communication.
• Own, define and monitor KPIs and SLAs for service quality, proactively driving improvements.
• Manage second-level support teams and coordinate with L1 providers for seamless escalation and response workflows.
• Promote support to Release team for successful releases to build on project deliverables and compliance to client timelines.
• Oversee annual DR exercise.
• Support annual SOC audit.
• Lead technical planning for system initiatives, migrations, upgrades, and risk mitigation efforts.
• Provide weekly defect reporting and change requests.
• Work closely with PMO for weekly/monthly reporting.
• Participate in project governance, CAB, and readiness assessments for production deployment approvals.
• Ensure successful alignment of technical execution with contractual obligations, security audits, and disaster recovery objectives.
• Act as the primary systems liaison to client leaders (e.g., CDL, DHS, AGM), participating in governance and planning meetings.
• Represent systems at weekly status meetings, steering committees, and delivery reviews.
• Partner with clients to anticipate future needs, align on solution roadmaps, and maintain strong business relationships.
• Provide clear communication and detailed impact reporting during outages, escalations, and planned changes.
• Lead and coach technical and operations staff across multiple delivery areas.
• Set aligned objectives, drive performance feedback, and promote a culture of accountability and learning.
• Maintain an Ownership Map—ensuring every service/system has clearly defined primary and secondary owners.
• Encourage cross-training, succession planning, and bench strength development.

Principal – System Operations Manager

Vice President

• Ensure that delivery of the service or technical solution meets contractual specifications
• Shape and drive strategies to ensure that company's delivery model remains a competitive differentiator
• Lead the company's global service operations with focus on quality and consistency
• Develop and maintain a strategy for use of leveraged service centers
• Serve as a key contributor to shaping company's vision for a global delivery model
• Evaluate effectiveness of company performance in relation to contracts and delivery
• Recommend methods to increase performance and delivery standards
• Provide independent voice and advice on review of proposals and accounts
• Oversee delivery assurance reporting
• Partner with legal and financial teams to assess compliance
• Ensure delivery model adheres to standards and best practices
• Direct and manage budget; ensure activities are appropriately funded

Vice President, Engagement Lead

• Codes, tests, debugs, implements, and documents complex programs.
• Creates appropriate documentation in work assignments such as program code and technical documentation.
• Involves and leads in client communications and communications with project team members.
• Works with System Architects, Project Managers and DBAs to generate code modules.
• Works with project team members to assign work items.
• Designs systems and programs to meet complex business needs.
• Prepare detailed specifications from which programs are developed and coded.
• Ensures programs meet standards and technical specifications; performs technical analysis and component delivery.
• Gathers information from existing systems, analyzes program and time requirements
• Assists project manager in preparing time estimates and justification for assigned tasks.
• Designs programs for projects or enhancements to existing programs.
• Write specifications for programs of high complexity.
• Assists support and/or project personnel in resolving moderately complex program problems.
• Works with clients and management to resolve issues and validate programming requirements within their areas of responsibility.
• Provides technical advice on complex programming.
• Develop test plans to verify logic of new or modified programs.
• Conducts quality assurance activities such as peer reviews.

Advisor Batch Developer – UNIX, C, Eligibility, Managed Care

Business Analyst

• Lead requirements gathering sessions with business stakeholders, SMEs, and cross-functional teams.
• Translate business needs into detailed Business Requirements Documents (BRDs), Functional Requirements Documents (FRDs), user stories, process flows, and data mappings.
• Analyze and document current and future-state workflows within PBM operations.
• Demonstrate strong knowledge of the pharmacy claims adjudication lifecycle, including: Member eligibility validation, Formulary checks, Benefit plan design, Prior authorization, DUR (Drug Utilization Review), Copay/coinsurance calculation, Rejections and overrides.
• Work closely with IT teams to support system enhancements, integrations, and defect resolution.
• Participate in system design discussions and provide functional guidance to developers.
• Support EDI transactions including NCPDP standards.
• Create test plans, test cases, and support SIT/UAT activities.
• Perform data analysis using SQL or similar tools to validate requirements and results.
• Ensure compliance with regulatory requirements (CMS, HIPAA).
• Identify process improvement opportunities and recommend solutions.

Senior Business Analyst – Pharmacy Benefit Management

Security Engineer

• Lead Security operational governance activities - Drive security remediation efforts and SLA/SLO adherence
• Compliance, operationally focused and security driven
• Ensuring delivery excellence in security tooling and business operations (Ensuring avoidance of non-performance / non-compliance leading to contractual penalties).
• Relationship management with Gainwell Technologies suppliers and the client.
• Presentation skills that invoke confidence and provide clear Gainwell messaging
• Create and maintain an account security plan for the selected account(s) and Products
• Manage and report security incidents from start to finish
• Manage audit preparation, facilitation and remediation
• Manage security risks and exceptions
• Ensure knowledge and implementation of security fundamentals, policies, and standards (regulatory and contractual)
• Escalate and resolve security issues
• Coordinate delivery of security metrics and reporting in support of contractual commitment

Information Security Officer – ISO

Data Analyst

• Analyze complex operational workflows
• Lead root cause analysis and redesign initiatives
• Quantify financial impact of operational changes
• Identify opportunities to deploy AI/ML-driven workflow automation
• Act as a strategic thought partner to senior operations leadership

Architect

• Play a key role in defining the end-to-end application and solution architectures necessary to support incoming customer initiatives and programs
• Identify and address architecturally significant changes
• Complete architecture impact assessments
• Prepare technical documentation
• Present solutions to the Account Architecture Review Board (ARB)
• Assign architecture resources across a portfolio of projects
• Provide mentorship to more junior staff in the architecture and project teams
• Perform final reviews on document deliverables that will reach the customer

Principal Application Architect

Solutions Engineer

• Lead the design and modernization of MMIS solutions
• Develop and execute cloud migration strategies
• Drive transformation initiatives and deliver integrated strategies
• Architect and deploy AWS cloud infrastructure
• Ensure solutions comply with federal and state healthcare standards
• Establish and maintain quality assurance procedures and standards
• Prepare architecture diagrams and compliance reports
• Collaborate with state agencies, vendors, and internal teams

Enterprise Solution Architect – Cloud, Compliance

• Designs and conducts regular audits of computer systems to determine that they are operating securely and that data is protected from both internal and external attack.
• Assesses assigned system to determine system security status and ensures adherence to security policy, procedures and standards.
• Designs and recommends security policies and procedures.
• Prepares training materials for computer security education and awareness programs and trains end users on same.
• Monitors, evaluates, and maintains complex security systems according to industry best practices to safeguard internal information systems and databases.
• Reviews security requirements and subsequently reviews systems to determine if they have been designed and established to comply with established standards.
• Conducts investigations of security violations and breaches and recommends solutions; prepares reports on intrusions as necessary and provides analysis summary to management.
• Reviews more complex company firewalls logs across the organization.
• Responds to queries and requests for computer security information and reports from both internal and external customers.
• Provides technical consultation on tasks; provides leadership and work guidance to less experienced personnel.
• Provides recommendations of product for upgrades, patches and other general security measures in order to better secure systems for various clients.