Gainwell Technologies

• accountable for all security-related compliance and delivery for the customers assigned • operate as a trusted advisor in the organization, working with senior management • focus specifically on health care industry regulated security requirements • work with the leadership team to identify issues and concerns • conduct, provide, and report on threat and vulnerability management • maintain an account system security plan and manage security incidents • ensure audit preparation, facilitation, and remediation • coordinate delivery of Security Metrics and Reporting in support of contractual commitment

• 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 C/Unix-based 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 — 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.

• Review, research, and resolve medical and dental claims in accordance with established processing guidelines and procedures. • Analyze claims issues and collaborate with internal departments to ensure timely and accurate resolution. • Manage multiple priorities while maintaining productivity, accuracy, and service-level expectations. • Communicate claim status, workload updates, and potential issues to leadership and business partners as appropriate.

Title: Clinical Pharmacist Location: United States Job Description: It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary Primary duties include evaluating prescription claims data, developing and presenting clinically driven recommendations and initiatives, evaluating utilization management criteria and operational impact, supporting and maintaining configuration requirements, researching policy and regulatory drivers, and coordinating with operations, claims, network, reporting, medical management, population health, and other internal stakeholders. This role serves as a clinical leader, driving cross-functional collaboration to improve member outcomes, optimize pharmacy programs, and advance strategies across the organization. Your role in our mission - Analyze clinical, utilization, prescribing, claims, and pricing data to identify opportunities that improve medication use, quality outcomes, cost effectiveness, medication adherence, preventive care, health equity, and population health performance. - Develop, implement, manage, and evaluate utilization management programs, RetroDUR initiatives, clinical interventions, communications, clinical edits, coding, consultation tools, outreach efforts, and other pharmacy strategies aligned with organizational goals. - Review prescribing patterns, prescription claims, and prior authorizations to identify gaps in care, high-risk populations, outlier practices, and opportunities to improve quality, safety, adherence, and member outcomes. - Conduct provider consultations and evidence-based education, build collaborative provider relationships, and partner with Medical Directors and cross-functional stakeholders to support improved clinical and population health outcomes. - Lead and collaborate across pharmacy, medical management, quality, care management, analytics, operations, claims, network management, technology, and other teams to implement programs, solve complex clinical and business challenges, and support evidence-based decision making. - Present program methodologies, interventions, outcomes, and recommendations to governance committees, evaluate impact on quality and clinical objectives, and support regulatory and organizational performance measures. - Serve as a pharmacy subject matter expert and strategic advisor, maintain current knowledge of medications, treatment guidelines, and industry best practices, and drive continuous quality improvement, operational excellence, innovation, and efficiency across pharmacy programs and operations. - Perform other duties as assigned. What were looking for - Licensed Pharmacist. - Minimum of five (5) years of experience in pharmacy benefit management or pharmacy managed care. - Detailed knowledge of Medicaid programs at both state and federal levels. - Ability to communicate succinctly and accurately in both written and verbal English across diverse audiences, including executive leadership, clients, providers, and large groups. - Experience presenting complex clinical findings, recommendations, and program outcomes to senior leaders, clients, and governance committees. - Ability to manage multiple projects simultaneously and effectively prioritize competing demands. - Experience evaluating healthcare data, clinical outcomes, quality measures, and performance metrics. - Demonstrated experience applying population health principles to improve medication use, quality outcomes, and healthcare delivery. - Demonstrated leadership experience driving results through influence and collaboration across highly matrixed, cross-functional organizations. - Proven success leading cross-functional teams and building partnerships across pharmacy, medical, quality, operations, analytics, provider engagement, care management, and technology functions. - Experience with the end-to-end pharmacy claims lifecycle, clinical operations, medication pricing methodologies, NCPDP standards, financial management, managed care regulations, and healthcare quality initiatives. - Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) requirements. - Strong PC skills with advanced proficiency in Microsoft Office, data analysis, project management, problem-solving, and virtual collaboration platforms such as Microsoft Teams, Zoom, and similar technologies. What you should expect in this role - Ability to travel up to 25%, including occasional overnight travel. - Remote position; candidates must reside within the United States. The application period will remain open until August 5, 2026. The pay range for this position is $135,000.00 - $165,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

• Provide collaboration, facilitation, leadership, and coaching, supporting the Scrum Team and Scrum process. • Facilitate sprint planning, daily stand-ups, feedback meetings, sprint reviews/retrospectives, etc. • Coach the Scrum Team to understand the need for clear and concise Backlog items. • Helping the Team to create high-value products. • Manage the triage of defects and provide support to PO on prioritization. • Coordinate dependencies and work across teams via Nexus scrums including lead and coordinate decision-making with other teams and team members. • Release coordination Exemplify a Lean-Agile Mindset through Servant Leadership. • Exhibits Lean-Agile leadership, Leading and coaching the organization in its Scrum adoption. • Champion and coach others in the use of the Agile software development methodology.

• Assist in keeping projects moving to deliver better health and human services outcomes • Lead one or more large project management teams as they tackle technological programs • Spearhead project planning, tracking and oversight of assigned staff • Communicate with client, company and project team leadership to share project metrics • Create project schedules, program definitions, budgets and objectives • Actively project manage across non-direct reports, escalating risks and implementing mitigation solutions • Support growth by preparing detailed SOW and assisting with new proposal efforts

• Performs complex standard and non-standard processing and quality tasks in support of outsourced services within a specific industry and functional area • Demonstrates knowledge and skills in a variety of assigned work processes • Applies knowledge to ensure best practice procedures and continuous process improvement • Identifies issues and reviews, recommends and implements modifications to procedures and workflow as necessary to ensure efficient and effective processing of transactions • Performs analyses and reports findings • Maintains log records of pertinent data and provides periodic status reports • Prepares standard and adhoc reports for management and clients • Researches problems and follows up with the client regarding resolution • Interfaces with management and clients to resolve issues and assists in implementing same as approved • Supports development and documentation of new or revised standard operating procedures • Handles company confidential data according to policy and guidelines • May provide leadership and work guidance to less experienced personnel • Monitors daily activity of employees to ensure policy and procedures are being followed

Role Description As an Advisor Programmer Analyst (C/Unix Batch Developer) at Gainwell, you can 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 — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. - 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 C/Unix-based 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 — 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 ensure 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. Qualifications - 9+ years of application development, technical leadership and batch programming experience using C, Unix and Linux. - 3+ years of experience leading technical teams. - SQL for database querying and data structures (SQL Server or Oracle). - System integration and scripting. - Experience with Healthcare IT systems. - Excellent communication and stakeholder management. - Ability to translate technical concepts into business language. - In-depth knowledge of SDLC methodologies (Agile, Waterfall). - Change management and release planning. - Organizational and project management skills. - Demonstrated ability to think critically and solve complex problems. - Conducting root cause analysis and implementing corrective actions. - Cloud platforms (Azure, AWS). - DevOps practices and CI/CD pipelines. Requirements - Fully remote opportunity with the option to work anywhere within the United States. - Opportunities to travel through your work (0-10%). - Willingness to work a flexible schedule to accommodate business needs and travel as required. - Video cameras must be used during all interviews, as well as during the initial week of orientation. Benefits - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - Leadership and technical development academies to help build your skills and capabilities.

• Create engaging instructional materials for eLearning, virtual classroom, and instructor-led training environments • Partner with subject matter experts and stakeholders to conduct needs assessments and identify learning objectives • Develop storyboards, course content, learning activities, assessments, and supporting materials • Create interactive, visually engaging, and accessible digital learning experiences using eLearning authoring tools • Manage multiple instructional design projects and priorities while improving content and methodologies

• Deliver engaging and interactive training sessions to diverse audiences across virtual, classroom, and on-the-job learning environments. • Facilitate training programs that build employee knowledge, skills, and performance while adapting delivery methods to different learning styles and needs. • Collaborate with instructional designers and business partners to ensure training materials are effective, accurate, engaging, and user-friendly. • Provide post-training support, coaching, resources, and guidance to reinforce learning and improve employee performance. • Evaluate training effectiveness through learner feedback, surveys, assessments, and performance metrics while supporting training transformation and system implementation initiatives.