Gainwell Technologies

Manager

• Oversee end-to-end delivery of data integration, interfaces, conversions, reporting, and analytics for Provider+ implementations across all lifecycle phases
• Own and maintain the integration/interface catalog, including all inbound and outbound data exchanges (e.g., provider enrollment, credentialing, screening, MCOs, state hubs)
• Lead technical design integrity for interfaces, APIs, data mappings, schemas, error handling, and reconciliation, ensuring traceability from requirements through testing
• Coordinate with engineering and platform teams on build/configuration/localization of integrations, conversions, and analytics pipelines; validate unit and integration test evidence prior to SIT
• Define and govern provider data conversion and migration strategy, including mapping, cleansing rules, load approach, cutover sequencing, reconciliation, and acceptance criteria
• Drive analytics and reporting readiness, ensuring datasets, feeds, semantic models, and dashboards are aligned to source-of-truth and ready for UAT and production
• Ensure non-functional requirements and compliance (security, privacy, auditability, performance) are met in partnership with Architecture and Security teams
• Serve as the primary technical/data advisor to the Engagement Lead, assessing feasibility of requirements and providing impact analysis and options for scope/schedule trade-offs
• Lead client facing delivery cadences, including recurring program wide delivery meetings and executive ready status reporting with clear risks and mitigations
• Drive technical execution quality by setting and enforcing delivery standards, including documentation, coding guidelines, peer reviews, and unit testing expectations
• Support staffing and financial forecasting inputs, and budget cycle activities needed to keep delivery on track

Principal Provider Integration – Analytics Delivery Manager

Support Engineer

• Develop, maintain, and optimize complex SQL queries, views, and stored procedures to support analysis, configuration validation, reporting, and defect resolution.
• Perform in-depth data analysis and root-cause investigations to troubleshoot system and production issues.
• Use SQL to extract, analyze, reconcile, and validate data across environments to support solutioning, testing, and quality assurance.
• Support performance tuning activities by analyzing queries, batch jobs, execution plans, and system throughput.
• Perform smoke testing and post-release validation to confirm data integrity and system stability.
• Coordinate with data conversion teams to support migration planning, data loads, reconciliation, and validation.
• Validate converted and migrated data to ensure accuracy, completeness, and alignment with business and policy intent.
• Support and validate configuration syncs from baseline to upper environments.
• Analyze, validate, and reconcile interface outputs, extract files, and database feeds.
• Validate X12 EDI transactions for structure, content, and processing outcomes.
• Support Business Analysts by translating functional requirements into technical specifications and solution models.
• Participate in design and requirements workshops, providing technical insight to ensure business and technical alignment.
• Support System Integration Testing (SIT), User Acceptance Testing (UAT), and performance testing by validating data and system behavior.
• Clearly document and communicate technical findings, risks, root causes, and resolution approaches to stakeholders.

Senior Technical Analyst – MMIS, Medicaid Pharmacy

Business Analyst

• Supports business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment
• Acts as the primary Domain SME, serving as a trusted advisor to the Engagement Lead (EL) on business processes and associated regulatory and operational impacts
• Ensures compliance alignment by validating that solution design and configuration conform to CMS guidance, state policy, and documented business rules
• Supports the EL with in-scope negotiations and change control, providing domain expertise to assess scope trade-offs and the functional, regulatory, and operational impacts of change requests
• Lead and participate in collaborative requirements and design sessions with clients and internal teams to validate functional and technical needs
• Develop and maintain domain design documentation, with the Design Document as a core deliverable, covering workflows, interfaces, X12 EDI transactions, letters, and reports
• Review test cases to ensure alignment with requirements, policy interpretation, and acceptance criteria
• Provide domain SME support during System Integration Testing (SIT) and User Acceptance Testing (UAT)
• Support defect analysis, root-cause investigation, resolution, retesting, and functional readiness validation
• Collaborate with the Domain Lead and Technical Analysts, acting as a trusted domain and policy SME

Business Analyst – MMIS, Medicaid Pharmacy

Backend Engineer

• Review requirements, specifications, and technical design documents to provide timely and meaningful feedback.
• Extensive experience in developing complex applications using Java 8, Spring Boot, Spring MVC, J2EE Design Patterns and REST services.
• Extensive experience in Front End Technologies like Angular 8 or above, Java script, Ajax and JQuery.
• Hands-on experience in relational databases – DB2, PostgreSQL.
• Hands-on experience on working / deploying application on GitHub.
• Expertise in Development tools (Eclipse, IntelliJ).
• Design, create reports, and charts using Java and Tableau.
• Create detailed, comprehensive and well-structured test plans and test cases.
• Estimate, prioritize, plan and coordinate testing activities.
• Perform automation as needed.
• Identify, record, and document thoroughly to track bugs (root cause analysis).
• Perform thorough regression testing when bugs are resolved.
• Develop and apply testing processes for new and existing products to meet business needs.
• Stay up-to-date with new testing tools and test strategies.

Java Developer, Angular

Software Engineer

• Performing design, development, testing activities.
• Supporting the full life cycle of development processes for creating services.
• Investigating and resolve complex business and technical product integration matters of significance.
• Focusing on a specific product or family of technologies in multiple platforms; functions independently within a business area and assists at the enterprise level to influence the technical decisions during various phases of the project.
• Codes, tests, debugs, implements, and documents programs.
• Assists in the modification of company products and/or internal systems to meet the needs.
• Gathers information from the system, analyses program and time requirements, and prepares documentation to change existing programs.
• Researches and analyses existing systems and program requirements, under periodic supervision.
• Designs programs for projects or enhancements to existing programs.
• Writes specifications for programs of low to moderate complexity.
• Assists in resolving issues & defects. Develops and suggests alternative approaches to resolving problems.
• Develops test plans to verify logic of new or modified programs. Identifies issues as appropriate.
• Creates appropriate documentation in work assignments such as program code, and technical documentation.
• Conducts quality assurance activities such as peer reviews.
• Expertise in Batch job automation and notification services.
• Complex SQL work experience and query tuning expertise.
• Experience working with Member, Managed Care, Provider, Financial, Claims domain is a plus.

Pro*C Developer, C/Unix

• Design, develop, and maintain Java‑based microservices using Spring / Spring Boot
• Build and support RESTful and SOAP web services deployed on IBM WebSphere Application Server (WAS)
• Develop and enhance integration flows in IBM App Connect Enterprise (ACE) , including ESQL‑based message transformations
• Integrate applications using IBM MQ and JMS for reliable, asynchronous communication
• Troubleshoot and resolve performance, scalability, and production issues in middleware and service layers

Enterprise Middleware Developer – Java, Integration

Analyst

• Review leads for insurance coverage determination
• Facilitate the monthly Desktop Review audit
• Process medical subrogation leads
• Conduct claim research and legal document reviews
• Correspond with carriers, vendors, employers, and the State client

Third Party Liability Analyst

• Codes, tests, debugs, implements, and documents programs
• Assists in the modification of company products and/or customer/internal systems
• Gathers information from the system, analyzes program and time requirements
• Researches and analyzes existing systems and program requirements
• Designs programs for projects or enhancements to existing programs
• Writes specifications for programs of low to moderate complexity
• Develops and suggests alternative approaches to resolving problems
• Develops test plans to verify logic of new or modified programs
• Conducts quality assurance activities such as peer reviews

Batch Developer, UNIX, C, SQL

• Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.
• Contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve.

Dotnet Developer, Hadoop

• Performing design, development, testing activities
• Supporting the full life cycle of development processes for creating services
• Investigating and resolve complex business and technical product integration matters of significance
• Focusing on a specific product or family of technologies in multiple platforms
• Functions independently within a business area and assists at the enterprise level

C/Pro*C Developer

Insurance

• Handle inbound calls from Medicaid providers and members regarding insurance coverage and COB-related inquiries
• Verify and validate third-party insurance coverage using MMIS systems, carrier portals, and internal tools
• Accurately document and update case information across systems such as Perceptive Content and Excel
• Process back-office tasks including emails, faxes, and SharePoint requests tied to TPR contracts
• Interpret insurance coverage details and apply policy guidelines to ensure accurate information is communicated
• Support assigned contract operations (e.g., Idaho client) through dedicated back-office workflows
• Maintain compliance with HIPAA and data privacy standards while handling sensitive information

Healthcare Insurance Verification Specialist

Security Engineer

• Manage and develop a team of vulnerability analysts and security engineers
• Provide coaching, mentorship, performance feedback, and career development
• Ensure high-quality delivery of security services across client accounts
• Act as the operational escalation point for client-facing delivery issues
• Own day-to-day operations of scanning, triage, ticketing, remediation coordination

Senior Manager, Security Delivery

• 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

Advisor Business Analyst – Provider

Full-stack Engineer

• Perform design, development, testing activities
• Support the full life cycle of development processes for creating services
• Investigate and resolve complex business and technical product integration matters
• Focus on a specific product or family of technologies in multiple platforms
• Work independently within a business area and assist at the enterprise level to influence technical decisions during various phases of projects
• Conduct batch development and ensure no access to Protected Health Information (PHI) & Personally Identifiable Information (PII)

C Developer, Linux

• Lead financial operations for your assigned accounts and sector, including forecasting, budgeting, variance reporting, and month-end close processes.
• Conduct Monthly Business Reviews and provide insightful financial analysis to account leadership.
• Support growth initiatives by integrating pipeline opportunities into multi-year account plans.
• Coordinate corporate efficiency initiatives, track their progress, and reflect financial impacts in forecasts.
• Act as a change leader, ensuring alignment across teams in response to corporate requests and enterprise-wide initiatives.
• Guide new deals and renewals, validating cost models and ensuring proper handoff into operations.
• Enable cash flow health by managing invoicing, accounts receivable, and payable cycles.
• Ensure compliance with legal, contractual, and financial reporting standards.