Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies provides technology and operational solutions that support healthcare programs. The Manager, Provider Operations Strategy and Solutions leads the design and standardization of provider operational and technical solutions across Medicaid accounts, partnering with operations, product, engineering, and client stakeholders to improve provider experience, efficiency, reporting, and compliance.
Responsibilities
- Leading the design and standardization of provider-facing processes (e.g., enrollment, outreach, site visits) across Medicaid programs
- Defining business and technical requirements to support provider systems, workflows, and compliance
- Developing reporting frameworks, dashboards, and KPI structures to drive operational visibility and performance
- Partnering with product and engineering teams to ensure systems and data capture meet business and reporting needs
- Driving provider experience improvements that reduce friction and improve access to services
- Supporting implementation efforts to ensure alignment with enterprise standards and data requirements
- Identifying and scaling best practices across accounts, including process, reporting, and performance models
- Supporting governance, executive reporting, roadmap planning, and strategic initiatives
Skills
- 5+ years of experience in Medicaid operations or technical service delivery
- Strong understanding of provider services (enrollment, screening, outreach, publications/communications, and support)
- Experience leading business process improvement, system implementation, or operational transformation initiatives across operations, product, and technology teams
- Strong analytical, problem-solving, and stakeholder management skills
- Opportunities to travel through your work (25%)
- Fully remote position within the US
Benefits
- Work flexibility
- Learning and career development
- Opportunities to travel through your work (25%)
- Fully remote position within the US
- Generous, flexible vacation policy for all salaried, full-time candidates
- 401(k) employer match for all salaried, full-time candidates
- Comprehensive health benefits for all salaried, full-time candidates
- Educational assistance for all salaried, full-time candidates
- Leadership and technical development academies to help build your skills and capabilities
Company Overview
Company H1B Sponsorship