Manager, Provider Operations Strategy and Solutions

Job not on LinkedIn

🔥 2 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $86.7k - $123.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

⚙️ Operations

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 the design and standardization of provider-facing processes across Medicaid programs, including enrollment, outreach, and site visits • Define business and technical requirements for provider systems, workflows, and compliance • Develop reporting frameworks, dashboards, and KPI structures • Partner with product and engineering teams to align systems and data capture with business and reporting needs • Drive provider experience improvements that reduce friction and improve access to services • Support implementation efforts and alignment with enterprise standards and data requirements • Identify and scale best practices across accounts • Support governance, executive reporting, roadmap planning, and strategic initiatives

🎯 Requirements

• 5+ years of experience in Medicaid operations or technical service delivery • Strong understanding of provider services, including 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 • Fully remote position within the US

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Opportunities to travel through your work (25%)