Medicaid Product Strategy Lead, Medicaid Products – AI Enabled Modernization

Job not on LinkedIn

🔥 29 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $108.5k - $155k / year

⏰ Full Time

🟠 Senior

🧐 Strategy

🦅 H1B Visa Sponsor

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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

• Own product strategy and outcomes for an assigned Medicaid product domain • Define problems, client and company value, and a roadmap balancing commitments, investment, quality, and commercial opportunity • Translate client needs into reusable, configurable capabilities for multiple clients • Define configurable rules, workflows, and integration patterns while reducing custom development • Translate policies, operational processes, and legacy system behavior into requirements, business rules, acceptance criteria, configuration specifications, and test scenarios • Partner with AI teams on business rule extraction, configuration assistance, requirements analysis, data mapping, test preparation, and operational research • Define where expert review and validation are required for AI-enabled workflows • Build and maintain a product knowledge layer covering policy, rules, configuration, design decisions, and client variations • Partner with product design and engineering to improve transparency, usability, decision tracing, and issue resolution • Lead discovery through MVP definition, delivery, implementation readiness, training, adoption, and continuous improvement • Shape modernization paths with architecture and delivery teams alongside existing platforms • Establish and monitor measures for configuration turnaround, implementation effort, adoption, processing accuracy, manual workload, and product economics • Mentor product managers and domain experts and improve product management practices

🎯 Requirements

• 12+ years experience leading complex enterprise products, projects, configuration or operational organizations • Deep expertise in Medicaid, healthcare payer systems, or a closely related domain • Experience taking products or major capabilities from discovery through delivery, adoption, and measurable improvement • Ability to translate complex policies and business processes into clear product behavior, requirements, and acceptance criteria • Experience balancing individual client needs with a scalable product strategy • Strong judgment about scope, sequencing, investment, dependencies, and tradeoffs • Technical fluency sufficient to collaborate on modular architecture, APIs, integrations, data dependencies, and configurable business rules • Practical experience applying AI to product or delivery workflows, including evaluating output quality and establishing appropriate human review • Strong communication and influence across executives, clients, domain experts, and technical teams • Video cameras must be used during all interviews and during the initial week of orientation

🏖️ Benefits

• Work flexibility • Generous, flexible vacation policy • Educational assistance • Comprehensive leadership and technical development academies • 401(k) employer match • Comprehensive health benefits • Career growth and development opportunities • Occasional travel opportunities (0–10%)

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