Senior Director, Enterprise Performance, Operations

Gainwell Technologies

. Set and execute the enterprise performance strategy for claims operations .

Posted 10/27/2026full-timeRemote • Texas • United StatesSenior💰 $137,100 - $195,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in establishing enterprise performance strategies and governance models, with a strong focus on Medicaid fee-for-service claims operations and operational analytics. Proven ability to lead high-performing teams, drive accountability, and deliver measurable improvements through data-driven insights and strategic initiatives.

Highest-signal resume keywords

Enterprise Performance StrategyMedicaid Fee-For-Service Claims OperationsOperational AnalyticsDashboard DesignLeadership in Healthcare Operations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Performance ManagementKPI StandardizationData AnalysisOperational Efficiency EvaluationBudget ManagementReporting CadencesContinuous Improvement InitiativesGovernance ModelsScorecard DevelopmentRoot Cause Analysis

Soft Skills

Executive PresenceInfluencing SkillsCollaborative LeadershipStrategic ThinkingCommunication Skills

Industry Keywords

Healthcare AdministrationClaims AdministrationPerformance InsightsClient Needs AssessmentMarket PracticesRegulatory DevelopmentsOperational TechnologyPerformance TargetsSystemic Performance GapsVoice-Of-Customer Insights

About the role

Key responsibilities & impact

Set and execute the enterprise performance strategy for claims operations
Establish an enterprise performance management framework with governance, standardized definitions, targets, scorecards, and accountability mechanisms
Develop and oversee a Medicaid fee-for-service claims performance dashboard
Create reporting and operating cadences for enterprise claims teams and senior leadership
Standardize KPIs and measurement methodologies across claims teams
Evaluate operational efficiency across people, processes, and technology
Translate data and performance insights into best-practice recommendations and improvement roadmaps
Lead continuous improvement initiatives addressing systemic performance gaps and strengthening controls
Establish performance targets, monitor progress, and drive accountability for corrective and preventive actions
Collaborate with analytics, product, engineering, and IT teams to improve data quality, automation, reporting, and operational technology
Advise state sector leaders, account general managers, and executive leadership on claims performance, risks, and improvement opportunities
Incorporate client needs and voice-of-customer insights into performance priorities and operational solutions
Assess industry trends, regulatory developments, and market practices
Support proposals, client discussions, and strategic initiatives
Build and lead a high-performing enterprise performance team

Requirements

What you’ll need

Bachelor’s degree in business, healthcare administration, operations, analytics, information systems, or a related field; advanced degree preferred
15+ years of progressive experience in healthcare operations, claims administration, performance management, operational analytics, or a related discipline
10+ years leading operational teams, enterprise programs, or matrixed organizations
Experience establishing enterprise performance strategies, governance models, standardized KPIs, and executive reporting
Strong knowledge of Medicaid fee-for-service claims operations, claims lifecycle performance, and healthcare administrative processes
Ability to use data and analytics to identify root causes, guide decisions, and deliver measurable improvements in accuracy, productivity, service, and cost
Experience leading complex initiatives spanning people, process, data, and technology
Experience designing dashboards, scorecards, reporting cadences, and operational review processes for executive and operational audiences
Experience managing departmental budgets, business cases, and cost optimization initiatives
Strong executive presence and communication skills, with the ability to influence clients, operational leaders, and C-suite executives
Strategic, innovative, and collaborative leadership style with demonstrated success building teams and leading through growth and change

Benefits

Comp & perks

Work flexibility
Learning and career development
Flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Approximately 25% travel to support key client meetings