Gainwell Technologies

Call Center Representative

• Handle inbound calls from providers and/or recipients of Alabama Medicaid.
• Listen to provider and/or recipient needs/issues and provide helpful solutions.
• Update address information, verify benefit limits, and adhere to the client’s SLAs.
• Collaborate with team members, management, and clients to resolve client inquiries.
• Cross-train new resources in customer service processes.

Account Manager

• Manage the full vendor lifecycle: onboarding, performance monitoring, continuous improvement, and offboarding.
• Serve as the single point of contact for vendor escalations, inquiries, and issue resolution.
• Monitor KPIs daily, weekly, and monthly; proactively address performance gaps.
• Build and maintain strong executive-level relationships with vendor leadership.
• Navigate and mediate conflicts effectively, fostering transparent and collaborative partnerships.
• Align vendor contracts with evolving business needs; collaborate with procurement on amendments and renewals.
• Partner with Shared Service to evolve and expand scorecards, dashboards, and reporting routines to track vendor performance trends.
• Facilitate cross-vendor calibration sessions and best-practice sharing to elevate performance.
• Conduct vendor risk assessments and audits; ensure adherence to compliance standards and business continuity plans.
• Drive competitive benchmarking across vendors to identify top performers and uplift underperformers.
• Provide actionable insights to leadership for strategic decisions based on comparative analysis.
• Mitigate risks related to security, brand reputation, and operational disruptions.
• Partner with account teams to implement cost-reduction initiatives and productivity incentives.
• Influence strategic sourcing efforts to deliver cost savings and long-term value.

CX Vendor Relationship Manager

Designer

• Head up technical teams and workstreams as you design, develop, test and install complex database applications software — with server, client and web components
• Keep the team on the same page by overseeing relationships between application architects and developers to ensure design requirements result in flexible, reusable system components
• Create more satisfied clients by writing highly complex design, coding and testing documentation that yields purpose-built technical products that meet real needs
• Shine as an SME in the areas of development, domain, application design and database methodologies and best practices
• Show your know-how as you provide clients with technical consulting on highly complex projects by refining existing apps and designing new application modules and components
• Exercise your expertise by mentoring and guiding less experienced application designers

Advisor Application Designer – Hybrid

Director

• Lead initiatives that drive client delivery excellence and transformation activities within our Implementation Practice.
• Focus on improving delivery methodologies, implementing transformation strategies, and ensuring operational consistency across engagements.
• Enhance and enforce software delivery lifecycle (SDLC) methodologies across projects.
• Establish best practices for delivery adherence and continuous improvement.
• Develop and maintain transformation roadmaps and scorecards to measure progress and impact.
• 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.

Transformation & Delivery Excellence Director

Manager

• Own full SDLC for IT product implementations from requirements validations through development, testing, data migration, deployment, and post-go-live support.
• Manage DDI projects, ensuring alignment with client objectives, timelines, and compliance standards.
• Actively engage in technical discussions, and issue resolution, not just oversight.
• Build strong relationships with public sector clients, serving as a trusted advisor and escalation point.
• Apply PMP best practices for planning, deliverables management, risk management, and quality assurance across all engagements.
• Mentor and guide project managers, business analysts, and technical leads, fostering a culture of accountability and excellence.
• Coordinate with various internal, cross functional teams to ensure seamless delivery for the client.
• Oversee estimation, pricing, and change control for complex IT implementation projects.

Senior Manager, Service Delivery

Software Engineer

• Developing, installing, and troubleshooting ServiceNow applications
• Modifying existing applications and workflows to meet specific business requirements
• Integrating ServiceNow with other systems and applications
• Creating and managing scripts to automate tasks and processes
• Designing and implementing custom workflows to streamline business processes
• Troubleshooting technical issues and identifying root causes
• Providing technical support to users and administrators
• Ensuring the stability and reliability of the ServiceNow platform
• Working closely with business stakeholders to understand their needs and requirements

Service Now Developer

Project Manager

• Coordinates highly complex administrative and/or clerical functions for a project team such as meeting and presentation materials.
• Handles highly complex confidential material relevant to company/project/program operations.
• Responsible for maintaining audit records while conforming to HIPAA and HITECH rules and regulations.
• Builds, manages, and maintains a solid working relationship with the client and the provider community.
• Monitors and processes project task sheets, client invoices, and other project team deliverables.
• Performs highly complex administrative functions related to entering information into databases and reviewing audit materials.

Project Administrator

Operations

• Supervise and manage a team of approximately 17 employees within the check posting and research functions
• Assign, prioritize, and monitor daily workloads to ensure checks are posted accurately and on time
• Ensure all check processing and posting activities are completed in accordance with established SLAs
• Track work progress and productivity using Excel and internal reporting tools
• Investigate posting discrepancies and coordinate with the appropriate internal departments or stakeholders for resolution
• Act as a point of escalation for operational issues, workflow delays, or quality concerns
• Maintain compliance with company policies, procedures, and internal controls
• Provide coaching, guidance, and performance feedback to team members
• Communicate regularly with upper management regarding team performance, workflow status, and process improvements
• Identify opportunities to improve efficiency, accuracy, and overall workflow within the department

Check Processing Operations Supervisor

Financial Planning and Analysis

• Compiling, creating, and delivering various financial reports on daily, weekly, quarterly, and annual cycles.
• Interacting regularly with the State of Vermont, healthcare providers, claims processing, and customer service departments.
• Providing a full range of Accounts Receivable and Accounts Payable functions in support of Green Mountain Care healthcare programs.
• Completing daily, weekly, monthly, quarterly, and year-end reporting, including daily receipts and bank deposits.
• Supporting Health Resources and Services Administration (HRSA) site reviews and managing claims and data reconciliation for Carved-In 340B participating Vermont Medicaid providers.

Medicaid Financial Analyst

Scrum Master

• Provide collaboration, facilitation, leadership, and coaching, supporting the Scrum Team and Scrum process.
• Facilitate sprint planning, daily stand-ups, feedback meetings, sprint reviews/retrospectives, etc.
• Coach the Scrum Team to understand the need for clear and concise Backlog items.
• Helping the Team to create high-value products.
• Manage the triage of defects and provide support to PO on prioritization.
• Coordinate dependencies and work across teams via Nexus scrums including lead and coordinate decision-making with other teams and team members.
• Exemplify a Lean-Agile Mindset through Servant Leadership.
• Exhibits Lean-Agile leadership, Leading and coaching the organization in its Scrum adoption.
• Champion and coach others in the use of the Agile software development methodology.
• Support changes that increase the productivity of the Scrum Team.
• Anticipate challenges, identify risks, and recommend mitigations and solutions.
• Remove impediments to team progress.

Business Analyst

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.
• Plans, designs and recommends business processes to improve and support business activities.
• Analyzes and documents client's business requirements and processes and communicates these requirements by constructing conceptual data and process models, including data dictionaries and volume estimates from organization.
• Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
• Assists in analyzing testing results throughout the project.
• Provides input into developing and modifying systems to meet client needs and develops business specifications to support these modifications.
• Facilitates meetings with clients to gather and document requirements and explore potential solutions.
• Participates in technical reviews and inspections to verify 'intent of change' is carried out through the entire project.
• Assists in analyzing testing results in all phases.
• Provides time estimates for project related tasks.
• Assists with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs.
• Distributes work and guides other team members.
• Coordinates business analyst tasks on information technology projects and provides project team member guidance and support.
• May plan, allocate and monitor the work of other business analysts.
• Works independently to drive a project and is a Subject Matter Expert on sub-system.