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Modifications Manager

Role overview

Qualifications

  • Bachelor's degree in Business, Information Technology, Healthcare Administration, Project Management, or a related field
  • 10+ years of experience in program, portfolio, project, or delivery management within a complex technology environment
  • 5+ years of leadership experience overseeing cross-functional teams and large-scale initiatives
  • Strong knowledge of portfolio management, governance, resource planning, forecasting, financial oversight, and risk management

Responsibilities

  • Lead the Wisconsin modifications portfolio from intake through implementation
  • Establish and improve portfolio governance processes and reporting standards
  • Partner with Wisconsin DHS and Gainwell leadership to define priorities and delivery commitments
  • Monitor portfolio health, risks, and delivery performance while managing issue resolution

Key facts

Hard skills

Other skills

  • Governance
  • Budgeting
  • Collaboration
  • Communication
  • Leadership

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

Gainwell Technologies is seeking a Modifications Manager to lead the planning, governance, and delivery of the Wisconsin Medicaid modifications portfolio. In this leadership role, you will oversee a complex portfolio of system enhancements and modernization initiatives, ensuring projects are prioritized, staffed, governed, and delivered in alignment with client expectations, contractual commitments, and organizational objectives.

As a member of the Wisconsin leadership team, you will serve as a key liaison between Wisconsin DHS, account leadership, project management teams, and business stakeholders. You will provide strategic direction, portfolio oversight, financial stewardship, resource planning, and executive-level communication to drive successful outcomes across the modification portfolio.

Your role in our mission

  • Lead the Wisconsin modifications portfolio from intake through implementation, ensuring successful delivery of initiatives across scope, schedule, budget, and quality expectations.
  • Establish and continuously improve portfolio governance processes, prioritization frameworks, intake workflows, performance metrics, and reporting standards.
  • Partner with Wisconsin DHS and Gainwell leadership to define priorities, delivery commitments, and portfolio roadmaps.
  • Monitor portfolio health, risks, dependencies, resource capacity, and delivery performance while driving issue resolution and escalation management.
  • Review and validate project estimates, staffing plans, schedules, and delivery commitments across multiple concurrent initiatives.
  • Oversee modification-related budgeting, forecasting, invoicing, and financial performance to ensure responsible stewardship of funding.
  • Manage cross-project and cross-vendor dependencies and ensure impacts to scope, schedule, budget, and implementation commitments are identified and addressed.
  • Deliver executive-level reporting and recommendations to client and organizational leadership.
  • Lead and mentor team members responsible for governance, reporting, forecasting, and financial administration.

What we're looking for

  • Bachelor's degree in Business, Information Technology, Healthcare Administration, Project Management, or a related field. Master's degree preferred.
  • 10+ years of experience in program, portfolio, project, or delivery management within a complex technology environment.
  • 5+ years of leadership experience overseeing cross-functional teams and large-scale initiatives.
  • Experience managing multiple concurrent projects, budgets, and stakeholder groups.
  • Experience presenting to and partnering with executive-level clients and leadership teams.
  • Strong knowledge of portfolio management, governance, resource planning, forecasting, financial oversight, and risk management.
  • Experience with software development and systems delivery lifecycles.
  • Ability to influence and collaborate across business, operational, and technical organizations.
  • Preferred experience supporting Medicaid, MMIS, healthcare payer, government technology, or other regulated public-sector programs.

What you should expect in this role

  • Opportunity to work remote
  • Travel up to 10%

Applications for this position will be accepted until 11/9/2026.

#LI-REMOTE

#LI-LM1

The pay range for this position is $92,800.00 - $132,600.00 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.

 

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Marcus Rivera

Chief Revenue Officer

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