Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.
Summary
The Vice President of Testing Transformation is responsible for leading enterprise-wide modernization of Quality Engineering for a Medicaid healthcare IT organization. This role sets the strategic direction for testing excellence, automation, AI adoption, and regulatory readiness across all major platforms and programs. The VP oversees enterprise testing governance, ensures solutions meet business and compliance needs, and enables consistent, high-quality delivery across claims, eligibility, encounters, provider management, digital experiences, and state implementations.
Your role in our mission
- Develop the multi-year Testing Transformation roadmap aligned with organizational modernization, strategic Medicaid priorities, and CMS/state regulatory demands.
- Establish and enforce enterprise testing standards, frameworks, and best practices for functional, regression, API, UI, UAT, non-functional, and end-to-end testing.
- Introduce shift-left, shift-right, continuous testing, and predictive quality methodologies.
- Lead the evaluation, adoption, and scaling of AI-driven testing capabilities.
- Partner with data science, architecture, and platform engineering to incorporate AI/ML models into test insights, risk analytics, and release decisioning.
- Implement GenAI tools to accelerate test creation, documentation, analysis, and reporting.
- Build strong partnerships with business owners, clinical operations, compliance, and Medicaid teams.
- Ensure test strategies directly support business goals, regulatory obligations, and operational readiness.
- Drive business participation in test planning, UAT, validation cycles, and release readiness reviews.
- Define and implement the enterprise automation strategy, ensuring scalability across platforms and regulatory programs.
- Increase automation coverage across integration, regression, performance, API, and UI testing.
- Partner with DevOps to embed test automation into CI/CD pipelines.
- Ensure automation contributes to measurable improvements in speed, cost, and quality.
- Oversee performance engineering and load/volume testing for mission-critical platforms (claims, eligibility, digital, interoperability, EDI/FHIR).
- Lead all QA vendor relationships, including multi-shore delivery partners, test centers of excellence, and specialized testing firms.
- Own strategy and governance for enterprise test tools including automation frameworks, test management platforms, defect management, performance tools, and AI-driven capabilities.
- Ensure consistent adoption, tool standardization, and alignment with architecture.
- Evaluate current testing talent, competencies, and organizational structure.
- Create a skills development roadmap including AI skills, automation engineering, performance engineering, and regulatory testing maturity.
- Build a strong leadership pipeline and foster a culture of quality, innovation, and accountability.
- Ensure high engagement and productivity across local, remote, and offshore teams.
What we're looking for
- 15+ years of experience in IT Quality Engineering, Testing, or Software Delivery; 7+ years in senior leadership.
- Deep understanding of Medicaid/Medicare programs, CMS regulations, and state-specific readiness testing.
- Proven success leading enterprise testing transformation, automation initiatives, and AI-enabled testing programs.
- Experience managing large offshore/vendor QA teams and complex multi-system integration testing.
- Strong executive communication skills and ability to influence across business and IT leadership.
- Bachelor’s in Computer Science, Engineering, or related field required; Master’s preferred.
What you should expect in this role
- This is a remote role with some annual travel possible up to 25%.
The deadline to submit applications for this posting is April 9, 2026.
The pay range for this position is $160,000.00 - $228,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
