Vice President, Provider Solutions – Business Architecture

Job not on LinkedIn

🔥 1 minute ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $200k - $250k / year

⏰ Full Time

🔴 Lead

👔 Vice President

🦅 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

• Own end-to-end baseline Provider business architecture across enrollment, screening, credentialing, provider data management, portals, interfaces, correspondence, and related capabilities • Establish reusable process models, capability maps, roles, information flows, business rules, and reference designs for Provider solutions • Lead application design and configuration standards, ensuring requirements, product capabilities, gaps, extensions, and configuration decisions are traceable and executable • Govern design decisions and exceptions through stage gates, decision rights, owners, deadlines, and escalation paths • Ensure business requirements include how-met responses, acceptance and testing criteria, dependencies, architectural alignment, and contractual alignment • Partner with Solutioning, Product, Engineering, and Implementation to translate proposals, contracts, and statements of work into governed designs • Provide business-architecture leadership across Provider DDIs, including configuration readiness, product-gap resolution, client decisions, and implementation transition • Act as a hands-on, servant leader solving complex client solution challenges • Monitor federal and state regulatory changes and maintain compliant Provider processes, business rules, and application designs • Coordinate with executives across engineering, product management, solutioning, and implementation to resolve cross-functional problems • Drive DDI transformation through standardization, reusable assets, automation, AI-enabled design and configuration, and implementation-learning adoption • Measure and improve design reuse, configuration efficiency, quality, cycle time, and cost; make investment needs and tradeoffs visible • Manage a growing team of 50+ professionals supporting Provider DDIs

🎯 Requirements

• Bachelor's degree in business, information technology, healthcare administration, engineering, or a related field, or equivalent experience; advanced degree preferred • Fifteen or more years of progressively responsible business architecture, solution architecture, application design, product design, or enterprise healthcare technology experience • Ten or more years leading matrixed teams • Five or more years at the senior director, vice president, or equivalent level • Ten or more years supporting Medicaid, public-sector healthcare, or similarly regulated programs • Five or more years in Medicaid Provider solutions or implementations • Leadership of business architecture and application design for at least two large-scale, multi-workstream implementations or enterprise solution transformations • Experience defining reusable process, requirements, configuration, and governance standards across multiple products, clients, or implementations • Experience resolving complex solutioning challenges with clients while implementing • Proven ability to lead and scale a large-scale team with defined goals/objectives aligned to the broader organization • Demonstrated ownership of at least three core areas: business-process architecture, requirements quality and traceability, application design, configuration governance, or product-gap governance • Proven ability to align Product, Enterprise Architecture, Engineering, Solutioning, Implementation, Customer Experience, and client executives to approved designs, owners, decisions, and target dates • Demonstrated experience translating proposals, contracts, statements of work, and regulatory requirements into executable business and application designs • Quantified improvement in at least two outcomes, such as design reuse, configuration efficiency, cycle time, quality, delivery cost, or reduction of product gaps and custom development

🏖️ Benefits

• Work flexibility • Learning and career development • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies