Advisor, Product – Medicaid Solutions

Job not on LinkedIn

🔥 2 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $86.8k - $124k / year

⏰ Full Time

🟠 Senior

🔴 Lead

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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

• Lead product strategy for Medicaid claims-related domains, translating member, provider, benefits, clinical, and finance needs into clear product outcomes and domain roadmaps • Shape the transformation of core adjudication capabilities by defining modern product direction, platform opportunities, and domain-level investment priorities • Develop a deep understanding of Medicaid program operations, claims workflows, regulatory and policy context, client pain points, market dynamics, and ecosystem shifts • Use product discovery, customer research, workflow analysis, data, and experimentation to validate problems, prioritize opportunities, and reduce delivery risk • Partner with engineering, architecture, design, operations, implementation, sales, and client-facing teams to align domain strategy with feasible, scalable product execution • Frame ambiguous domain and platform decisions, evaluate tradeoffs, and bring recommendations forward with clear rationale • Create and evangelize product narratives that help stakeholders understand the transformation vision • Define success measures for domain outcomes and use qualitative and quantitative insights to evaluate adoption, operational impact, user experience, and product performance • Identify new product opportunities within Medicaid claims

🎯 Requirements

• 9+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis • Healthcare industry experience required, including Medicaid or Medicare programs • Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions • Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions • Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments • Experience with AI product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred

🏖️ Benefits

• flexible vacation policy • educational assistance • health benefits • 401(k) employer match • leadership development academies • technical development academies