Gainwell Technologies

• 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.

• 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

• 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

• Drive the development of healthcare administration products • Interface with technical teams and clients • Code, test, debug, implement and document moderately complex programs • Designs, develops, and maintains data processing applications

• Develop Event Calendar and Budgets: Create a comprehensive event calendar with clear timelines and budgets. • Organize Kick-off Meetings: Align stakeholders on goals, timelines, and responsibilities through kick-off meetings. • Oversee Budgeting Processes: Manage detailed budgeting processes involving multiple teams to ensure financial efficiency. • Maintain Communication: Provide regular updates and consultations with relevant parties to ensure alignment and input. • Manage Event Logistics: Handle contracts, booth logistics, and promotional items, ensuring timely ordering, payment, and shipping. • Develop and Execute Promotions: Create and manage promotional timelines, event listings, and client events, including invitations and logistics. • Post-Event Analysis: Conduct post-conference surveys, debrief meetings, and distribute reports to gather feedback and evaluate event impact.

• Provide exceptional customer support for incoming and outgoing Provider Claims processing • Review, research, and process claims • Refer claims to appropriate department and prepare RTP forms • Maintain accurate workload tracking and communicate status updates

Role Description As Advisor Full Stack/UI Developer/Technical Lead 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. Here are the details on this position: - Head up technical teams and workstreams as you design, develop, test and install complex database applications software — with server, client and web components. - Oversee relationships between application architects and developers to ensure design requirements result in flexible, reusable system components. - Write highly complex design, coding and testing documentation that yields purpose-built technical products that meet real needs. - Provide clients with technical consulting on highly complex projects by refining existing apps and designing new application modules and components. - Mentor and guide 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. - Design, develop, install, test and document applications software — including server, client and web components. - Design, document and deliver 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. - Develop technical documentation and test plans to support integration and deployment. - Work closely with software developers to advance key goals and objectives for Gainwell and our clients. Qualifications - 9+ years of experience in Applications Development in Lead Technical roles using Java, JSF, JEE, Hibernate, Spring, SQL, Oracle and Web services. - Web development in J2EE technologies. - Full stack developer with UI experience. - Object Oriented concepts and patterns. - JSF 1.x, MyFaces Tomahawk, JSP - supported by JSF 1.x. - Spring, Hibernate, JSF, RDB, Webservices (SOAP, REST), IDE, Versioning Suite. - Client facing role and requirements analysis. - Subject Matter Expert in Managed Care, Member Management, and Eligibility Verification. - Extensive experience in PA, PAS, and Provider domains. - Application Servers - ideally WebLogic. - Eclipse or other IDE. - Gitlab and GitHub. - Technical writing skills to include Requirements/Design Docs, other technical documents. - Analysis skills in UI (Requirements gathering, Design, etc). - Linux. - AWS (EC2 Instances, Lambda Functions, S3, Amazon RDS, CloudWatch, CloudTrail, AWS IAM, AWS CodePipeline). - AWS Best Practices and Cloud Centric application development. - Serverless architectures such as serverless services, event driven architecture, microservices and microservice orchestration. 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. - The pay range for this position is $90,000 - $105,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.

Role Description As a Database Solutions & LAMP at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. You will use your programming and analytical skills to drive the development of healthcare administration products used, and relied upon, by millions of patients. Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional developmental opportunities. - Develop your career as you support Gainwell’s focus on creating innovative, purpose-built technologies and solutions to deliver better health and human services outcomes. - Reviews codes, tests done, documents and implements programs according to the specifications provided. - Provides moderately complex to complex technical and production support to end-users. - Participates in and conducts peer reviews as needed. - Participates in creating unit and other test plans for assigned programming tasks. - Provides leadership and work guidance to less experienced personnel. - Reviews and analyses writing program specifications. - Reviews design of new programs of routine complexity and for basic enhancements to existing programs. - Recommends changes to client software based on information such as client feedback, language changes and new technology. Qualifications - 6+ years of Application and Database Development and Programming experience. - Extensive Database experience using MySQL to include Database Maintenance, Stored Procedures and working with Backend Web Sites/Portals. - Experience working with LAMP Stack and PHP. - Experience working with Writing Technical Specifications and Requirements. - Previous experience with Healthcare Systems is desired. 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.

Role Description As a Senior Professional Programmer Analyst at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. You will use your programming and analytical skills to drive the development of healthcare administration products used, and relied upon, by millions of patients. Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional developmental opportunities. - 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 — 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. Qualifications - 6+ years of experience in application and user interface development, programming with .NET, C#, and Oracle. - Expertise in application development and support, covering all phases of the Software Development Life Cycle. - Proficient in: - SQL / PLSQL - HTML - JavaScript - jQuery - Web Service Development - Previous experience with interChange MMIS is highly preferred. - 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.

Role Description As a Principal Business Architect 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. - Oversees, plans, and designs highly complex business processes and makes recommendations in order to improve and support business activities. - Analyzes and documents client's complex business requirements and processes; constructs conceptual data and process models, including data dictionaries and volume estimates to communicate requirements. - Performs the function of a lead in creating complex test case scenarios for testing and/or monitoring the testing of business applications to verify that client requirements are incorporated into the system design. - Functions as a lead and provides input into the development and modification of systems to meet client needs. - Coordinates and facilitates meetings with clients on larger accounts to gather and document requirements and explore complex solutions. - Coordinates business analyst tasks on information technology projects and provides project team member guidance/support throughout the project life cycle. Provides work guidance and mentoring to less experienced personnel. - Participates and provides expertise in technical reviews and inspections to verify the implementation of 'intent of change' through the entire project. - Provides time estimates for project related tasks. - Creates and maintains the architecture for highly complex business process domains to ensure alignment with the organization's technology priorities. Qualifications - 12+ years of relevant Information Technology experience in a Business Architect or Business Analyst role with experience in Medicaid Management Information Systems (Claims Processing, Adjudication); Medicaid Industry, Payer Systems and HIPAA/X12/XML transactions are a must. - Strong background in QNXT Framework (5.0+) development cycle, its underlying capabilities, integrations with third party products and outlier solutions and great understanding of its SQL data models (PlanData). - Strong client communication skills translating client needs to actionable objectives, and analytical and business process re-engineering experience. - Experience using analytical software (Microsoft Excel or SQL), and other requirement-mapping tools (ALM, Application Lifecycle Management, Azure DevOps) tools. - Experience with Lean Management, and Continuous & Business Process Improvement with the ability to collaborate with team members, engineering, DDI and stakeholders and follow established processes to meet team’s goals. - A caring team leader who motivates and coaches less experienced resources. Requirements - Fully Remote Opportunity – Work from anywhere in the U.S. - Minimal Travel Required – Occasional travel opportunities (0-10%). - Video cameras must be used during all interviews, as well as during the initial week of orientation. - The deadline to submit applications for this posting is August 30, 2026. Benefits - The pay range for this position is $108,500.00 - $155,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - A variety of leadership and technical development academies to help build your skills and capabilities.