Senior Manager, Service Delivery

Gainwell Technologies

. Lead service delivery and operational execution for Medicaid Claims, Business Policy Administration, and Reference Data Maintenance teams .

Posted 10/2/2026full-timeRemote • United StatesSenior💰 $115,900 - $165,600 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in leading service delivery and operational execution within Medicaid claims and healthcare technology, focusing on process improvements, stakeholder management, and team development.

Highest-signal resume keywords

Medicaid Claims ManagementHealthcare Technology LeadershipStakeholder Relationship ManagementProcess ImprovementMMIS Systems Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Service Delivery ManagementOperational ExecutionDemand ForecastingQuality AssuranceDefect Reduction

Soft Skills

Coaching and DevelopmentIssue ResolutionAccountability

Tools & Technologies

Healthcare Payer SystemsMedicaid SystemsMedicare Environments

Industry Keywords

Business Policy AdministrationReference Data MaintenanceProvider SetupAdjudication Logic

About the role

Key responsibilities & impact

Lead service delivery and operational execution for Medicaid Claims, Business Policy Administration, and Reference Data Maintenance teams
Manage multiple clients and domain leads responsible for Medicaid claims, business policy administration, reference data maintenance, provider setup, and adjudication logic
Drive standardization and process improvements across design, build, test, deployment, and operational support
Develop and manage demand forecasts with account and product teams
Align capacity with client priorities and identify workload, capacity, and delivery timeline risks
Lead relationships between delivery teams, product engineering, and client stakeholders
Resolve escalations and ensure timely issue resolution
Drive continuous service improvements focused on claims accuracy, policy administration quality, reference data integrity, defect reduction, and turnaround times
Ensure delivery outcomes meet client expectations for quality, compliance, and timeliness
Select and hire employees with relevant domain expertise
Coach and develop team members
Address performance issues and drive accountability for results

Requirements

What you’ll need

Twelve or more years of experience in healthcare technology, Medicaid claims, business policy administration, reference data maintenance, or related delivery roles
Eight or more years of leadership or supervisory experience
Experience working in healthcare payer systems, including Medicaid or Medicare environments
Experience working with MMIS systems or equivalent healthcare claims systems
Strong stakeholder and client relationship management skills
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
Comprehensive leadership and technical development academies
401(k) employer match
Comprehensive health benefits
Occasional travel opportunities (0–10%)