Agile Portfolio Manager – MMIS Medicaid Domain

🕒 June 2

🍂 Massachusetts – Remote

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💵 $86k - $124k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

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Gainwell Technologies

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Manage portfolio work intake, prioritization, and resource allocation using Agile demand management, specifically for MMIS Medicaid projects and enhancements. • Implement and oversee Agile methodologies (Scrum, Kanban, SAFe) across multiple teams working on Medicaid eligibility, claims, provider management, and related modules. • Ensure compliance with Medicaid regulations, CMS guidelines, and state-specific requirements throughout the portfolio lifecycle. • Continuously improve team productivity through process optimization, Lean/Agile methodologies, and value stream mapping, with a focus on Medicaid operational excellence. • Develop and maintain executive dashboards and metrics-driven reporting for leadership, highlighting Medicaid program performance, regulatory compliance, and operational KPIs. • Align portfolio initiatives with Medicaid program strategy, state and federal mandates, and business objectives. • Facilitate regular portfolio reviews, audits, and coaching sessions for MMIS teams. • Lead incident and problem management processes, root cause analysis, and service improvement initiatives within the Medicaid ecosystem. • Collaborate with stakeholders, including executive leadership, state agencies, and Medicaid program managers, to communicate portfolio health and recommendations.

🎯 Requirements

• Minimum 7+ years of experience in portfolio management, program management, or project management within the MMIS Medicaid domain or other large-scale healthcare IT environments • Proven experience implementing Agile methodologies and managing large teams (100+ members) in Medicaid or healthcare IT projects • Strong understanding of Medicaid regulations, CMS guidelines, and MMIS operational requirements • Expertise in Lean/Agile methodologies, productivity improvement, and executive reporting • Excellent communication and stakeholder management abilities, including experience working with state agencies and Medicaid program managers.

🏖️ Benefits

• Flexible vacation policy • Educational assistance • Comprehensive health benefits • 401(k) employer match • Leadership and technical development academies

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