Medicaid Product & Solution Strategist

Job not on LinkedIn

🔥 5 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $108.5k - $155k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🦅 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

• Develop and lead Medicaid modernization strategies • Assess current environments and translate business and technology needs into target-state solutions and phased roadmaps • Support Medicaid pursuits, RFPs, renewals, recompetes, and expansions • Develop integrated solution strategies, recommendations, and business cases • Partner with Product, Architecture, Engineering, Delivery, Finance, and Growth • Align product capabilities, integrations, dependencies, investment requirements, and delivery approaches • Design cohesive MES and enterprise solutions balancing reusable, configurable capabilities with state-specific Medicaid requirements • Develop modernization roadmaps and business cases considering cost, risk, implementation feasibility, time-to-value, and measurable client and financial outcomes • Guide modernization strategies from early client discussions and pre-RFP shaping through DDI implementation and execution • Facilitate strategic discussions with state Medicaid leaders and internal executives • Translate complex technical topics into clear business recommendations and trade-offs • Lead cross-functional solutioning efforts • Develop executive presentations, modernization playbooks, decision frameworks, and reusable best practices

🎯 Requirements

• 12+ years of experience in Medicaid/MMIS, healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization • Experience leading complex cross-functional initiatives • Deep knowledge of Medicaid enterprise systems and business capabilities • Experience with claims and encounters, EDI/integration, data/analytics, and systems integration • Experience developing enterprise modernization strategies and solution architectures • Experience with current-state assessment, target-state definition, modular solution design, transition roadmaps, integration dependencies, and phased implementation approaches • Significant experience supporting complex pursuits, RFPs, or client solutioning • Ability to translate business and technical requirements into integrated solutions, executive recommendations, roadmaps, and business cases • Executive-level communication and cross-functional leadership skills • Ability to influence senior client and internal stakeholders • Ability to lead work across Product, Architecture, Engineering, Delivery, Growth, and Finance without direct reporting authority

🏖️ Benefits

• Work flexibility • Learning and career development • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • 401(k) employer match • Comprehensive health benefits • Occasional travel opportunities • Flexible vacation policy for salaried, full-time candidates

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