Gainwell Technologies provides technology and operational services to government health programmes in the United States, principally state Medicaid…
Gainwell Technologies provides technology and operational services to government health programmes in the United States, principally state Medicaid agencies. It was formed in 2020 when Veritas Capital acquired the state and local health and human services business of DXC Technology and established it as an independent company, though the underlying programme work stretches back decades through predecessor organisations.
Medicaid is administered separately by each state within federal rules, which means every state runs its own eligibility criteria, provider network, benefit design and claims processing. Gainwell builds and operates the systems behind that work, including Medicaid management information systems, claims adjudication, provider enrolment and screening, pharmacy benefit administration and care management platforms.
Alongside the core systems the company provides programme integrity services that detect improper payments and fraud, data analytics that help agencies understand utilisation and cost, and business process operations such as call centres serving members and providers.
Because the customer is a public agency and the end users are people relying on public health coverage, the work is governed by federal certification requirements, privacy rules and audit obligations.
Roles cover software engineering, data analytics, healthcare operations, clinical and pharmacy expertise, programme management and compliance, with delivery centres across the United States and in India.
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Gainwell Technologies LLC operates in healthcare technology, is headquartered in Irving, Texas, USA, employs around 10,001+ people.
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