Principal Product – Medicaid Claims Transformation

🕒 July 22

🇺🇸 United States – Remote

💵 $108.5k - $155k / year

⏰ Full Time

🔴 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 and create domain roadmaps • Shape the transformation of core adjudication capabilities and define platform investment priorities • Develop expertise in Medicaid 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 and prioritize opportunities • Partner with engineering, architecture, design, operations, implementation, sales, and client-facing teams • Frame ambiguous domain and platform decisions, evaluate tradeoffs, and present recommendations • Create and evangelize product narratives explaining the transformation vision and priority decisions • Define success measures and evaluate adoption, operational impact, user experience, and product performance • Identify new product opportunities enabled by platform modernization, workflow redesign, automation, data, and interoperability • Coach and influence product managers and cross-functional partners

🎯 Requirements

• 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis • Proven ability to drive product strategy, innovation, and business outcomes • Healthcare industry experience required, including Medicaid or Medicare programs • Strong understanding of payer operations, claims processing, regulatory requirements, and healthcare technology solutions • Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions • Strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies • Experience translating business, technical, and data requirements into scalable product solutions • Experience leveraging software development tools, methodologies, and best practices • Strength 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 artificial intelligence technologies preferred • Willingness to work a flexible schedule to accommodate business needs and travel • Video cameras must be used during all interviews and during the initial week of orientation

🏖️ Benefits

• Work flexibility • Learning and career development • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • Opportunities to travel through your work (0–10%) • 401(k) employer match • Comprehensive health benefits • Inclusive workplace