Gainwell Technologies

Operations

• Help create the power in Gainwell’s processes as we develop purpose-built technologies and solutions
• Share your expertise as you support the Business Process Services team in claims processing
• Meet production and quality requirements established by clients for timely claims processing
• Use policy guidelines and criteria established by leadership to evaluate claims and make adjudication decisions

Prior Authorization Operations Associate

Software Engineer

• Apply your skills to support Gainwell as we help clients deliver better health and human services outcomes.
• Support of COBOL mainframe environment.
• Design, document, and coordinate desired changes to legacy modules.
• Develop, install and evaluate application software on the mainframe.
• Involved in 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.
• Analyze and estimate feasibility and compatibility with other programs and projects.
• Provide quality control for project deliverables.
• Defines designs and develops highly complex systems requirements.
• Evaluates, test, debugs and implements applications programs in support of client needs.
• Assesses architecture and current hardware limitations, defines and designs highly complex system specifications, input/output process and working parameters for hardware/software compatibility.

Senior Mainframe Programmer, COBOL, CICS, DB2

Customer Support

• Handle high-volume inbound call center inquiries related to Medicaid billing and coverage for the Kentucky Medical Assistance Program.
• Communicate clearly and professionally by phone while accurately documenting calls in a call tracking management system.
• Review, interpret, and apply Medicaid policies, regulatory guidelines, and procedural documentation during customer interactions.
• Manage multiple active cases and calls while maintaining accuracy, time management, and follow-through.
• Meet established call center performance, quality, and documentation standards.

Prior Authorization Operations Associate

Senior Mainframe Programmer, COBOL, CICS, DB2

Customer Support Associate