Advancing Healthcare and Human Services Innovation

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. Serving clients across all 50 U.S. states, territories, and Washington, D.C., we are mission-driven and outcomes-focused, committed to building trusted, lasting relationships, and delivering results beyond the expected.

See How We Help

Powerful solutions designed to solve your greatest program challenges.

We are a strategic partner and solution provider serving agencies, health plans, and MCOs with next-generation technologies that improve health outcomes and ensure an intuitive, human-centered experience.

Beyond proven technologies, we provide a new way of thinking.

Get to Know Us

AI in Claim Reviews

CMS-0057

Reducing Friction for Providers

Our Solutions

We deliver what matters most to those who can make the most impact.

Whatever your challenges or limitations, we have the solutions and expertise necessary to meet you where you are on your modernization journey and propel you further.

Medicaid Enterprise

Modernizing claims, encounters, and financials with intelligent automation and interoperability through Gainwell Enterprise™.

Learn More

Data & Analytics

Transforming your most complex data into actionable insights with Gainwell Genius™.

Learn More

Provider Solutions

Delivering seamless experiences for providers to enhance care and optimize efficiencies with Gainwell Provider+™.

Learn More

Human Services & Public Health Solutions

Improving the well-being of communities through person-centered, data-driven approaches with Gainwell Assist™.

Learn More

Systems Integration & Interoperability

Accelerating modernization, connectivity, and operational efficiency with Gainwell Connect™.

Learn More

Pharmacy Solutions

Optimizing medication management to lower the total cost of care while improving patient outcomes with Gainwell Rx™.

Learn More

Coordination of Benefits

Providing comprehensive and innovative third-party liability solutions.

Learn More

Payment Integrity

Helping plans avoid and recover improper payments while detecting and preventing fraud.

Learn More

Care Quality

Enabling quality care and affordability with strategies that balance empathy and efficiency.

Learn More

Population Health

Maximizing the power of data, analytics, and technology to transform population health management with Gainwell WholeHealth™.

Learn More

Upcoming Event: Medicaid Enterprise Systems Conference (MESC 2025)

August 11-14, 2025 | Milwaukee, WI

MESC 2025 event image

More Event Details

50+ Years

Delivering Proven Healthcare Solutions

3.7 Million

Providers Engaged Annually

72 Million

Medicaid Enrollees Supported

Better experiences and outcomes are our measure of success.

With one of the most comprehensive suites of scalable services and solutions in our markets, Gainwell can partner with you to advance the future of healthcare one state, one program, and one member at a time.

Cost Containment & Care Quality

Driving Record Recoveries, Accelerating Compliance

25-Year Partnership

Demonstrated Quarterly Recovery Figures

4-Month
CMS Certification Success

Read the Case Study

Medicaid Management

Accelerating Provider Enrollment in Vermont

87.5% Reduction in Enrollment Processing Time

2.4% Increase in Enrollments & Revalidations Process

180,000 Members Served Across the State

Read Case Study

A man in dark grey and a woman in light grey, both wearing glasses, walk down the stairs of a modern office in conversation about Gainwell Technologies.

Grow your career and gain more with Gainwell.

Explore Jobs

Actionable insights that
empower healthcare progress.

We deliver ideas that help shape the future of healthcare.

Let’s shape the future of healthcare together.

Start the conversation today.

Advancing Healthcare and Human Services Innovation

Powerful solutions designed to solve your greatest program challenges.

AI in Claim Reviews

CMS-0057

Reducing Friction for Providers

We deliver what matters most to those who can make the most impact.

Medicaid Enterprise

Data & Analytics

Provider Solutions

Human Services & Public Health Solutions

Systems Integration & Interoperability

Pharmacy Solutions

Coordination of Benefits

Payment Integrity

Care Quality

Population Health

Upcoming Event: Medicaid Enterprise Systems Conference (MESC 2025)

50+ Years

3.7 Million

72 Million

Better experiences and outcomes are our measure of success.

Driving Record Recoveries, Accelerating Compliance

Accelerating Provider Enrollment in Vermont

Grow your career and gain more with Gainwell.

Actionable insights that
empower healthcare progress.

MES Vendor Strategy: Three Essentials When Consolidating IT and Business Operations

Improving Health Outcomes and Program Effectiveness for Justice-Involved Populations

Building a Data-Driven Care Ecosystem: Five Lessons for Medicaid Leaders

MES Vendor Strategy: Three Essentials When Consolidating IT and Business Operations

Improving Health Outcomes and Program Effectiveness for Justice-Involved Populations

Building a Data-Driven Care Ecosystem: Five Lessons for Medicaid Leaders

Let’s shape the future of healthcare together.

Advancing Healthcare and Human Services Innovation

Powerful solutions designed to solve your greatest program challenges.

AI in Claim Reviews

CMS-0057

Reducing Friction for Providers

We deliver what matters most to those who can make the most impact.

Medicaid Enterprise

Data & Analytics

Provider Solutions

Human Services & Public Health Solutions

Systems Integration & Interoperability

Pharmacy Solutions

Coordination of Benefits

Payment Integrity

Care Quality

Population Health

Upcoming Event: Medicaid Enterprise Systems Conference (MESC 2025)

50+ Years

3.7 Million

72 Million

Better experiences and outcomes are our measure of success.

Grow your career and gain more with Gainwell.

Actionable insights that empower healthcare progress.

Let’s shape the future of healthcare together.

Actionable insights that
empower healthcare progress.