Gainwell Technologies

Technical Project Manager

• Assist in keeping projects moving as Gainwell helps clients deliver better health and human services outcomes through technology and innovation.
• Lead one or more large project management teams by breaking down bigger technological programs and assisting with project staffing.
• Spearhead project planning, tracking and oversight of assigned staff by providing direction and deadlines to ensure quality and timely completion of tasks.
• Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program changes as needed.
• Create project schedules, program definitions, budgets and objectives to ensure the quality of project deliverables across all phases.
• Actively project manage across non-direct reports by quickly escalating any risks and implementing risk mitigation solutions.
• Support Gainwell’s growth as you prepare detailed SOW and assist with new proposal efforts and business development.

Business Analyst

• Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions.
• Communicate with clients and translate their business needs into simpler non-technical language.
• Monitor queues and reports for the call center.
• Perform extensive research independently and review data while working on multiple projects.
• Help analyze and document systems requirements and business processes.
• Build basic conceptual data and process models.
• Verify client requirements through executing and analyzing basic test case scenarios.
• Follow written policies, operating and maintenance instructions, and guidelines.
• Be part of technical reviews and inspections with senior leaders.

Provider Enrollment Business Analyst

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas
• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
• Work with the client to develop business specs at the start of a technical project
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
• Help verify that all requirements have been met by approving and validating test results
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

Senior Business Analyst

Software Engineer

• 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 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.

Senior Programmer Analyst

Project Manager

• Overseeing work across three functional areas
• Ensuring effective prioritization, resource allocation, and client relationship management
• Coaching and mentoring team members
• Communicating with the client, company and project team leadership
• Creating project schedules, program definitions, budgets and objectives
• Actively project managing across non-direct reports

Delivery Project Manager

Frontend Engineer

• 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
• 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
• 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, Full Stack/UI Developer – Technical Lead

Pharmacist

• evaluate prescription claims data
• develop and present clinically driven recommendations and initiatives
• evaluate utilization management criteria and operational impact
• support and maintain configuration requirements
• research policy and regulatory drivers
• coordinate with operations, claims, network, reporting, and other internal stakeholders
• analyze clinical, utilization, prescribing, claims, and pricing data
• develop, implement, manage, and evaluate utilization management programs

Clinical Pharmacist

Architect

• oversees, plans, and designs highly complex business processes
• analyzes and documents client's complex business requirements and processes
• constructs conceptual data and process models
• performs the function of a lead in creating complex test case scenarios
• functions as a lead and provides input into systems development
• coordinates and facilitates meetings with clients
• coordinates business analyst tasks on IT projects
• provides work guidance and mentoring to less experienced personnel
• participates and provides expertise in technical reviews

Business Architect

Provider Enrollment Specialist

• Review and process initial provider enrollment applications per State requirements
• Updates provider changes, certifications, and license updates
• Navigates multiple systems, licensing and medical certification websites to obtain updates
• Follows up with providers on outstanding issues within contractual guidelines
• Provides excellent customer service with professional verbal and written abilities while meeting documented quality standards

• 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, accelerating implementation and revenue recognition, and implementation staff development
• Oversee multiple projects, providing mentorship and guidance to implementation team members ensuring departmental guardrails are being met timely and accurately
• Training, quality assurance, and development of departmental guides and standard operating procedures
• Rapid escalation and problem solving of client project customizations, issues, and delays of project portfolio
• Lead one or more large project management teams by breaking down bigger technological programs and assisting with project staffing
• Spearhead project planning, tracking and oversight of assigned staff by providing direction and deadlines to ensure quality and timely completion of tasks
• Communicate with the client, company and project team leadership, measuring and sharing project metrics/status; recommend program changes as needed
• Create project schedules, program definitions, budgets and objectives to ensure the quality of project deliverables across all phases
• Actively project manage across non-direct reports by quickly escalating any risks and implementing risk mitigation solutions
• Support Gainwell’s growth as you prepare detailed SOW and assist with new proposal efforts and business development

Data Scientist

• Support Gainwell's Medicaid and public sector analytics initiatives by leading advanced data science activities across complex healthcare and enterprise datasets.
• Apply statistical modeling, machine learning, and scalable analytics techniques to generate actionable insights.
• Function independently within a business area while collaborating across multiple teams.
• Influence analytical approaches, mentor junior staff, and contribute to improving data science practices.
• Lead data ingestion, cleansing, transformation, and aggregation efforts for large scale datasets.
• Design and implement advanced feature engineering, statistical estimation, and hypothesis testing techniques.
• Develop, validate, and refine machine learning and statistical models.
• Analyze healthcare and enterprise datasets to surface complex, high impact, actionable insights.
• Drive iterative model development and support continuous integration and deployment of analytics solutions.
• Optimize data science solutions for performance, scalability, and production readiness.
• Collaborate with business stakeholders, data engineers, architects, and analysts to align analytics outputs with business objectives.
• Provide technical leadership and guidance to junior data scientists and analysts.

Product Marketing

• Develop and execute go-to-market strategies for Gainwell healthcare, Medicaid, and Pharmacy solutions, ensuring clear and consistent messaging that resonates with target audiences.
• Craft and refine product positioning and messaging that differentiates Gainwell’s solutions in the market tailored to public health and Medicaid stakeholders.
• Create and manage a wide range of marketing content—including solution briefs, white papers, case studies, and presentations—that highlight value in areas such as drug cost optimization, patient care improvement, and Medicaid compliance.
• Equip sales and account teams with tools and training to effectively communicate the value of Gainwell’s solutions, product presentations, and competitive analysis.
• Conduct market research with a focus on pharmacy benefit management (PBM) and carve-out models, along with broader Medicaid and healthcare trends, to inform product strategy and marketing messaging.
• Work closely with product management, sales, and the Field Marketing/ABM team to ensure product marketing efforts are aligned with overall go-to-market strategies and customer needs.
• Lead launches for FWA, Payment Integrity, and other healthcare solutions, coordinating cross-functional teams to ensure successful rollout and adoption.
• Engage with state agency customers, prospects, and sales teams to gather feedback and insights, particularly around pharmacy benefit models, that inform ongoing product development and marketing strategies.
• Track and report on the effectiveness of product marketing initiatives, making recommendations for continuous improvement.

Senior Manager, Product Marketing

Analyst

• Reviews Medicaid Drug Rebate payments from drug manufacturers to identify rebate disputes and resolve outstanding balances.
• Contact pharmacy and medical providers to verify claims data
• Contact drug manufacturers for information on disputed rebates
• Provide training for new hires and act as a subject matter expert to team
• Assist in required CMS reporting and invoicing as needed
• Act as backup for Drug Rebate Supervisor tasks as needed
• Assist the Supervisor in monitoring dispute workflow
• Lead efforts to focus efforts on the highest materiality disputes
• Assist with claim load file quality validation
• Research disputed pharmaceutical utilization to prepare dispute resolution proposals
• Negotiate with drug manufacturers to resolve disputes fairly and accurately
• Complete required productivity tracking reports
• Track and prioritize dispute resolution activities on an ongoing basis
• Review and resolve invoices in assigned workflow queues on a daily basis
• Follow up with drug manufacturers to secure payment for unpaid invoices
• Interact with internal and external customers to accomplish goals

Senior Drug Rebate Analyst

Assistant

• Ensure all processes meet HIPAA and government security requirements regarding the sharing and storage of Personal Health Information (PHI)
• Utilize strong analytical and case management skills to oversee 700–1,000 subrogation cases simultaneously
• Communicate professionally—primarily via inbound and outbound calls—with attorneys, insurance adjusters, medical providers, court staff, recipients, family members, and clients
• Prepare and manage required correspondence, liens, claims, and related documentation throughout the recovery process
• Meet departmental goals for customer service, settlements, and case handling standards
• Perform both basic and advanced document and legal reviews to determine case status, ensure accuracy, and support workflow progression
• Verify beneficiary eligibility and maintain accurate documentation
• Confirm and validate third-party liability, probate, and asset research findings
• Compile and analyze information from multiple sources to determine case status and recovery potential
• Process and resolve claim or lien disputes; collaborate with attorneys and relevant stakeholders as needed
• Conduct periodic follow-ups on case status, payments, and settlement updates
• Negotiate and finalize claim or lien settlement amounts according to established contract guidelines
• Execute and file notarized documents with applicable county offices
• Prioritize case events, payment issues, and revenue-impacting deadlines to ensure timely resolution
• Maintain accuracy, timeliness, and productivity standards for file management and phone metrics

Assistant, Case Management

Customer Support

• build, develop, and lead a team(s) of individual contributors, supporting employees and the execution of day-to-day operations
• establish and effectively lead routines at a regular cadence and utilize tools and reporting to drive team performance
• train and provide ongoing coaching to ensure employee engagement while maintaining client satisfaction
• participate in client-related activities, including project planning and client calibration sessions
• work with employees and operational leaders to achieve Client Service Level Agreements (SLAs)
• serve as a point of escalation and support team members by handling escalated calls and customer inquiries
• create conditions for success by removing obstacles and championing change to drive employee awareness and a connection to their work and contributions.