Gainwell Technologies

Project Manager

• 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, assist in creating the project budget
• Identify and mitigate risk through status reporting and project updates
• Prepare detailed SOW for clients; gain acceptance and stakeholder approval

Support Engineer

• Monitors and tracks operational projects across multiple business units to ensure timely completion and compliance with contractual requirements.
• Conducts data analysis, auditing, and reporting to identify trends, maintain accuracy, and provide actionable insights for leadership and clients.
• Collaborates with cross-functional teams and clients to research and resolve operational issues, implement process improvements, and support the development of standard operating procedures.
• Maintains confidentiality of sensitive information, adheres to security policies, and demonstrates expertise across a variety of operational processes.

Operations Analyst

Advisor

• play a critical role in designing and delivering high-quality, scalable Medicaid Drug Rebate applications
• lead efforts to work with development and product teams to optimize complex workflows
• creating intuitive, accessible, and visually compelling interfaces
• work will go beyond functionality—focused on crafting seamless, human-centered digital experiences
• supports the drug rebate solution for state clients in maintenance and operations
• collaborate with other stakeholder groups across the company’s Pharmacy enterprise
• works with product development teams and senior designers in developing design requirements

Medicaid Drug Rebate Product Advisor

• Assists in establishing objectives for small to medium sized projects to achieve business results by established, critical dates.
• Assists in coordinating deliverables for small to medium sized projects.
• Ensures adherence to schedules, deadlines, and products.
• Escalates matters of significance as appropriate.
• Assists in monitoring and redefining project objectives to respond to changes in the business environment.
• Provides requested data or information to support changes.
• Assist in coordinating inter-project dependencies, resource allocation, release planning, technology and architecture to meet business needs.
• Assists in planning, coordinating, and monitoring of the budget for a small to medium sized projects to ensure cost effectiveness.
• Monitors progress of project requirements and provides reports/updates to appropriate management, boards and committees, and business function managers to support projects in achieving the intended business results.
• Interacts with client program sponsor and program steering board to communicate program issues and progress.
• Assists in coordinating change in project direction, scope, benefits, costs, and timing while minimizing financial risks.
• Ensures adherence to same.

Associate Professional – Project Management

Business Analyst

• Analyze business needs and create innovative solutions
• Collaborate with business analysts making client recommendations
• Translate client business needs into simpler language
• Help analyze and document systems requirements and business processes
• Verify that requirements are built into the system design
• Be part of technical reviews and inspections
• Expand technical skills in software applications such as Microsoft Excel, SQL, or Visio

Associate Business Analyst

Full-stack Engineer

• Interface with technical team and client to gather technical specifications for technical design and delivery of the final solution
• Code, test, debug, implement and document moderately complex programs
• Designs, develops, and maintains data processing applications which meet customer business needs and technical considerations
• Prepares system documentation
• Participates in code review

Senior Batch Developer – Linux, C, SQL

• Analyze claims data to identify denial trends and operational bottlenecks
• Perform in-depth investigation of complex claims issues, determining root causes
• Provide actionable recommendations to support issue resolution, enhancements, and system improvements
• Collaborate with cross-functional teams to reconcile claims outcomes
• Develop reporting, dashboards, and monitoring tools for leadership decision-making

Experienced Claims Business Analyst

Backend Engineer

• Provides senior-level application analysis, design, development, integration, and support for the healthcare transaction platform and related Medicaid pharmacy systems.
• Lead design, development, testing, and deployment of NCPDP F6 transaction processing solutions.
• Analyze business and technical requirements and translate them into scalable application designs.
• Develop and maintain APIs, interfaces, batch processes, and data integrations.
• Perform code reviews and ensure adherence to Gainwell development standards.
• Support defect resolution, root-cause analysis, and production issue management.
• Collaborate with architects, business analysts, QA teams, and client stakeholders.
• Participate in Agile ceremonies and provide technical estimates and work planning.
• Create technical documentation, support guides, and knowledge-transfer materials.

Advisor Application Developer – Java, .NET, EDI, Pharmacy, NCPDP

Technical Writer

• Researches, writes, edits, and proofreads more complex technical data for use in documents or sections of documents such as manuals, procedures and specifications
• Assists in establishing style guidelines and standards for texts and illustrations to meet business needs
• Interviews programmers, engineers, developers, and other technical personnel
• Reads previous documentation and design notes, and uses computer based training or company technical products to gather and research technical information for use in more complex documentation
• Writes, organizes, enters and compiles more complex online help files to support end users
• Creates, compiles, and delivers more complex system/software developmental documentation packages
• Assists in creating project plan for completing documentation
• Provides leadership and work guidance to less experienced personnel

• Supporting business, policy, and technical execution across functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment.
• Ensuring solutions align with CMS guidance, state policy, and documented business rules.
• Leading and participating in requirements and design sessions with clients and internal teams to validate functional and technical needs.
• Interpreting federal and state Medicaid policies and translating them into system configuration, product features, business rules, and design artifacts.
• Developing and maintaining domain design documentation, including a comprehensive Design Document covering workflows, interfaces, X12 EDI transactions, letters, and reports.
• Supporting operational readiness across environments, data, processes, and staffing.

Senior Business Analyst – Provider

Business Operations

• Analyzes, plans and implements moderately complex operational process improvement needs.
• Supports long-term planning sessions with a single client to improve business processes.
• Identifies process improvement needs and communicates issues to authorized personnel.
• Provides consultation on the use of moderately complex re-engineering techniques.
• Deploys plans from conception through closing on moderately complex aspects of re-engineering projects.
• Develops moderately complex metrics for process management and future improvement opportunities.
• Collects data to identify root cause problems.
• Measures performance against process requirements and aligns improvement projects.

Senior Business Process Consultant

• Code, test, debug, implement, and document low to moderately complex programs
• Create appropriate documentation in work assignments such as program code, and technical documentation
• Design systems and programs to meet business needs
• Prepare detailed specifications from which programs are developed and coded
• Gather information from existing systems, analyzes program and time requirements
• Assist project manager in preparing time estimates and justification for assigned tasks
• Write specifications for programs of low to moderate complexity
• Develop test plans to verify logic of new or modified programs
• Conduct quality assurance activities such as peer reviews

Software Developer, .NET, C#, UI Development

Software Engineer

• Working Experience with the following technologies: C, Unix/Linux Systems, Oracle SQL, PL/SQL
• 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
• Experience with technical product configuration, design, and/or integration

C Developer, Batch Developer

Call Center Representative

• Provide knowledgeable responses to basic client questions; elevate more complex cases to appropriate staff as needed
• Put your skills to work to solve client problems, update account history and follow up with clients to confirm their inquiry or request is resolved
• Adhere to the client’s SLAs and consistently meet production targets
• Collaborate with team members, management and clients to resolve client inquiries; cross-train new resources in customer service processes
• Process client inquiries more efficiently and effectively by reviewing and recommending changes to procedures and workflow

Healthcare Contact Center Agent

• Act as a liaison between business stakeholders (state, pharmacy operations, internal teams) and technical teams
• Support end-to-end delivery by collaborating with cross-functional teams to validate and implement system maintenance requests
• Develop and execute test plans and test cases
• Validate system functionality and perform post-implementation verification to ensure solutions meet business directives
• Identify risks, gaps, and dependencies and proactively work with the team to drive resolution