[Hiring] Manager, Provider Operations Strategy and Solutions @Gainwell Technologies LLC

Role Description

The Manager, Provider Operations Strategy and Solutions role serves as a key leader responsible for driving standardized, scalable provider operational and technical solutions across Gainwell’s Medicaid accounts. This role partners with operations, product, engineering, and client stakeholders to design, implement, or optimize provider enrollment, outreach, system capabilities, reporting frameworks, and service delivery models.

The ideal candidate brings experience in Medicaid operations and implementations, with strong knowledge of provider workflows, reporting tools and customer experience platforms (CRM, workflow tools, provider portals). This role combines operational strategy, technical solutioning, and analytics to improve provider experience, efficiency, and compliance.

Your role in our mission:

• Leading the design and standardization of provider-facing processes (e.g., enrollment, outreach, site visits) across Medicaid programs.
• Defining business and technical requirements to support provider systems, workflows, and compliance.
• Developing reporting frameworks, dashboards, and KPI structures to drive operational visibility and performance.
• Partnering with product and engineering teams to ensure systems and data capture meet business and reporting needs.
• Driving provider experience improvements that reduce friction and improve access to services.
• Supporting implementation efforts to ensure alignment with enterprise standards and data requirements.
• Identifying and scaling best practices across accounts, including process, reporting, and performance models.
• Supporting governance, executive reporting, roadmap planning, and strategic initiatives.

Qualifications

• 5+ years of experience in Medicaid operations or technical service delivery.
• Strong understanding of provider services (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.

Requirements

• Opportunities to travel through your work (25%).
• Fully remote position within the US.
• Applications for this role will be accepted until 10/5/2026.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• Variety of leadership and technical development academies to help build your skills and capabilities.