Gainwell Technologies

Account Manager

• Cultivate client relationships and be the voice of Gainwell as a trusted advisor and thought leader
• Manage the operations of your account, including SLAs, security remediation, outage management, resource oversight, staffing, project health, implementations, and quality assurance
• Understand the data and own the outcomes for your client
• Develop a client-centered innovation agenda to proactively engage with client on their business needs and goals
• Harness Gainwell innovative spirit to meet and exceed contractual commitments
• Guide and mentor the delivery and operations team for your account
• Manage the financial quality of the account

Account General Manager

Representative

• Serve as a critical link between providers, customers, and internal teams
• Ensure effective communication, timely issue resolution, and proactive engagement
• Manage inquiries, research, outreach, and training from onset to completion
• Enhance service quality and ensure Medi-Cal program compliance
• Conduct thorough claims research, provide billing support, and resolve complex issues
• Facilitate and deliver engaging training sessions for small and large groups
• Provide personalized, one-on-one customer support for billing questions

Provider Field Representative

Project Manager

• Assist in keeping projects moving as Gainwell helps clients deliver better health and human services outcomes through technology and innovation
• Support Director of Implementation driving Payment Integrity growth strategy and development
• Oversee multiple projects, providing mentorship and guidance to implementation team members
• Training, quality assurance, and development of departmental guides and SOPs
• Problem solving of client project customizations, issues, and delays
• Lead large project management teams and assist with project staffing
• Spearhead project planning, tracking and oversight of assigned staff
• Communicate with the client, company, and project team leadership for project metrics/status
• Create project schedules, program definitions, budgets, and objectives
• Actively manage risks and mitigate solutions

• 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
• Identify and mitigate risks
• Prepare detailed SOW for clients

Analyst

• responsible for ensuring efficient service delivery and alignment with business needs
• drive reporting, analysis, and performance tracking
• support the production of alternate format beneficiary correspondence
• manual validation and transmit of print jobs using designated file transfer methods and systems to internal and external print vendors
• ensure all jobs are completed according to established deadlines
• vendor interface for any issues with jobs sent over for processing and completion
• manual tracking of all daily jobs and volumes, including letter type
• ensure Operating Procedure Manuals are updated as required
• be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impacts
• identify and escalate file, data, or production issues that may impact quality or delivery
• support user acceptance testing (UAT), defect resolution and solution implementation activities

Fulfillment Analyst

• Strengthen the quality and smooth running of important projects
• Lead one or more medium-sized project management teams
• Interface with the client, company and project team leadership
• Drive the quality of project deliverables across all phases of the program
• Help ensure project timeliness and quality by identifying and mitigating risk
• Prepare detailed SOW for clients and obtain agreement and approval from stakeholders

Senior Project Manager

Call Center Representative

• Engage promptly and professionally with providers and members through inbound/outbound calls, emails, and live chat
• Listen carefully to questions and concerns, providing clear and accurate information
• Document all interactions, feedback, and resolutions accurately in the CRM
• Collaborate effectively with team members and supervisors

Contact Center Provider Services

Application Support

• Application and operations support for cloud-based infrastructure on Azure and AWS cloud.
• Setup environments, deploy, and maintain 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

• Show that you are a PM pro as you support Gainwell in developing innovative, purpose-built technologies and solutions to deliver better health and human services outcomes.
• 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 and providing direction for timely, high-quality work to complete
• Manage project schedules and scope, assist in creating the project budget, oversee deliverables for quality and assist in staffing projects
• 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 and making changes to program as needed
• Prepare detailed SOW for clients; gain acceptance and stakeholder approval on the scope of that work

• Application and operations support for cloud-based infrastructure on Azure and AWS cloud
• Setup environments, deploy, and maintain applications in cloud environments
• 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

Scheduler

• Responsible for supporting workforce scheduling and planning activities for Gainwell's Customer Experience (CX) operations.
• Responsible for reviewing schedules and outcomes against tactical forecasts to optimize schedules.
• Develop and maintain workforce schedules that align staffing capacity with forecasted demand across both front-office and back-office CX operations.
• Partner with CX Operations and Capacity Planning teams to translate staffing plans and forecasts into executable schedules.
• Support schedule optimization, shift adjustments, and coverage planning to maintain alignment with service-level objectives.
• Monitor workforce data and scheduling performance to identify opportunities for improved workforce utilization and operational efficiency.

Senior Scheduler

Medical Billing and Coding

• serve as the medical coding subject matter expert for Long-Term Care coding workgroups and MMIS project initiatives
• review annual and quarterly CPT, HCPCS, and ICD-10 code updates
• research and respond to complex medical coding and policy inquiries
• lead meetings and facilitate stakeholder discussions
• maintain and enhance documentation of coding policies

Long-Term Care Medical Coding Policy SME

Data Analyst

• Analyze, document, and evaluate existing business processes
• Collaborate with teams to gather requirements and define process improvement initiatives
• Design and maintain metrics and dashboards
• Support automation initiatives utilizing various technology solutions

Business Process, Data Analyst

Attorney

• Provide strategic and practical legal advice to HR and business leaders on a broad range of employment law issues
• Provide legal updates, guidance, and training regarding applicable federal and state regulations and statutes
• Monitor federal and state labor and employment-related laws and developments, and maintain knowledge and understanding of same
• Draft and review employment agreements, separation agreements, notices, policies, and other employment-related documents
• Oversee employment-related certifications required by clients and federal and state agencies
• Manage employment disputes and litigation matters, including evaluating liability exposure and developing strategies, overseeing outside counsel, coordinating witness interviews and document production, and attending depositions, hearings, mediations, arbitrations, and trials as needed
• Other responsibilities as needed

Principal Attorney – Labor & Employment Law

Pharmacist

• Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation to ensure quality delivery of PBM and Medicaid pharmacy solutions.
• Develop and manage test strategy, plans, schedules, and execution governance, ensuring alignment with business requirements, CMS guidelines, and state Medicaid regulations.
• Oversee pharmacy functional validation, including claims adjudication, drug pricing, formulary management, prior authorization, rebates, NCPDP transactions, and financial reconciliation processes.
• Manage defects and cross-functional coordination among business SMEs, vendors, developers, conversion teams, and testing resources to ensure timely issue resolution and testing readiness.
• Provide leadership reporting and stakeholder communication by tracking quality metrics, risks, issues, and test progress.

Account General Manager

Provider Field Representative

Project Manager

Project Manager

Fulfillment Analyst

Senior Project Manager

Contact Center Provider Services

Cloud Application Support

Project Manager

Cloud Application Support

Senior Scheduler

Long-Term Care Medical Coding Policy SME

Business Process, Data Analyst

Principal Attorney – Labor & Employment Law

Pharmacy Test Manager