Medicaid Product & Solution Strategist

Gainwell Technologies

. Develop and lead Medicaid modernization strategies .

Posted 11/9/2026full-timeRemote • United StatesSeniorLead💰 $108,500 - $155,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in Medicaid modernization strategies, solution architecture, and cross-functional leadership. Capable of translating complex technical requirements into actionable business solutions and executive recommendations.

Highest-signal resume keywords

Medicaid/MMIS ExperienceSolution ArchitectureCross-Functional LeadershipEnterprise Modernization StrategiesExecutive-Level Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims and EncountersEDI/IntegrationData/AnalyticsSystems IntegrationCurrent-State AssessmentTarget-State DefinitionModular Solution DesignTransition RoadmapsIntegration DependenciesPhased Implementation Approaches

Soft Skills

Influencing StakeholdersStrategic Discussion FacilitationCross-Functional Collaboration

Industry Keywords

Healthcare TechnologyMedicaid Enterprise SystemsBusiness CapabilitiesRFP SupportClient Solutioning

About the role

Key responsibilities & impact

Develop and lead Medicaid modernization strategies
Assess current environments and translate business and technology needs into target-state solutions and phased roadmaps
Support Medicaid pursuits, RFPs, renewals, recompetes, and expansions
Develop integrated solution strategies, recommendations, and business cases
Partner across Product, Architecture, Engineering, Delivery, Finance, and Growth
Align product capabilities, integrations, dependencies, investment requirements, and delivery approaches
Design cohesive MES and enterprise solutions balancing reusable, configurable capabilities with state-specific Medicaid requirements
Develop modernization roadmaps and business cases considering cost, risk, implementation feasibility, time-to-value, and measurable client and financial outcomes
Guide modernization strategies from early client discussions and pre-RFP shaping through DDI implementation and execution
Facilitate strategic discussions with state Medicaid leaders and internal executives
Translate complex technical topics into clear business recommendations and trade-offs
Lead cross-functional solutioning efforts
Develop executive presentations, modernization playbooks, decision frameworks, and reusable best practices

Requirements

What you’ll need

12+ years of experience in Medicaid/MMIS, healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization
Experience leading complex cross-functional initiatives
Deep knowledge of Medicaid enterprise systems and business capabilities
Demonstrated experience in claims and encounters, EDI/integration, data/analytics, and systems integration
Experience developing enterprise modernization strategies and solution architectures
Experience with current-state assessment, target-state definition, modular solution design, transition roadmaps, integration dependencies, and phased implementation approaches
Significant experience supporting complex pursuits, RFPs, or client solutioning
Ability to translate business and technical requirements into integrated solutions, executive recommendations, roadmaps, and business cases
Executive-level communication and cross-functional leadership skills
Ability to influence senior client and internal stakeholders
Ability to lead work across Product, Architecture, Engineering, Delivery, Growth, and Finance without direct reporting authority
Ability to work from anywhere in the U.S.
Video cameras must be used during all interviews and during the initial week of orientation

Benefits

Comp & perks

Work flexibility
Learning and career development
Technical credentials and certifications
Generous, flexible vacation policy
Educational assistance
Leadership and technical development academies
401(k) employer match
Comprehensive health benefits
Occasional travel opportunities
Equal opportunity employment