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Manager, Provider Operations Strategy and Solutions

Role overview

Qualifications

  • 5+ years of experience in Medicaid operations or technical service delivery
  • Strong understanding of provider services
  • Experience leading business process improvement, system implementation, or operational transformation initiatives
  • Strong analytical, problem-solving, and stakeholder management skills

Responsibilities

  • Leading the design and standardization of provider-facing processes across Medicaid programs
  • Defining business and technical requirements to support provider systems and workflows
  • Developing reporting frameworks, dashboards, and KPI structures to drive operational visibility and performance
  • Driving provider experience improvements that reduce friction and improve access to services

Key facts

  • Remote from: Indiana (USA)
  • Full time
  • Strategy & Operations Manager
  • English

Hard skills

Other skills

  • Analytical Skills
  • Problem Solving
  • Collaboration
  • Innovation
  • Teamwork

About the company

Gainwell Technologies LLC logo

Gainwell Technologies LLC

Digital Health & Health Tech

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size10001

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Job description

 

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 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

This role advances Gainwell’s mission by:

  • 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

What we're looking for

  • 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

What you should expect in this role

  • Opportunities to travel through your work (25%)
  • Fully remote position within the US.

Applications for this role will be accepted until 10/5/2026.

#LI-LM1

#LI-REMOTE

The pay range for this position is $86,700.00 - $123,900.00 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.

 

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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