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Medicaid Middleman Ships Jobs, Tech to India Despite State Rules


The largest Medicaid claims processor has built a network of at least 1,800 engineers and analysts in India, rapidly increasing hiring in recent months, even though many of its state contracts require work to be done in the US unless waivers are issued.

The largest Medicaid claims processor has built a network of at least 1,800 engineers and analysts in India, rapidly increasing hiring in recent months, even though many of its state contracts require work to be done in the US unless waivers are issued. In its 2023 Diversity, Equity, and Inclusion Report, Gainwell said it had 1,250 employees in India and was working to build and renovate local schools and learning centers, and partnering with Indian volunteer organizations. Cwalina, of the Pennsylvania human services department, said the state’s contract provisions restricting offshore work are due to its obligations under HIPAA to protect “sensitive personal and health information.”

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