Vice President, Provider Solutions – Business Architecture

Gainwell Technologies

. Own end-to-end baseline Provider business architecture across enrollment, screening, credentialing, provider data management, portals, interfaces, correspondence, and related capabilities .

Posted 9/24/2026full-timeRemote • Texas • United StatesLead💰 $200,000 - $250,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in business architecture and application design, with a strong focus on Medicaid Provider solutions and regulatory compliance. Proven leadership in managing large teams and driving transformation through standardization and automation.

Highest-signal resume keywords

Business ArchitectureApplication DesignMedicaid Provider SolutionsLeadership of Matrixed TeamsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business Process ArchitectureRequirements Quality and TraceabilityConfiguration GovernanceProduct-Gap GovernanceReusable Process ModelsCapability MapsGoverned DesignsDesign ReuseConfiguration EfficiencyQuantified Improvement Metrics

Soft Skills

Servant LeadershipProblem SolvingCross-Functional CollaborationClient Relationship ManagementTeam Management

Certifications & Qualifications

Bachelor's DegreeAdvanced Degree Preferred

Industry Keywords

Healthcare AdministrationPublic-Sector HealthcareFederal and State Regulatory ChangesEnterprise Solution TransformationsDDI Transformation

About the role

Key responsibilities & impact

Own end-to-end baseline Provider business architecture across enrollment, screening, credentialing, provider data management, portals, interfaces, correspondence, and related capabilities
Establish reusable process models, capability maps, roles, information flows, business rules, and reference designs for Provider solutions
Lead application design and configuration standards, ensuring requirements, product capabilities, gaps, extensions, and configuration decisions are traceable and executable
Govern design decisions and exceptions through stage gates, decision rights, owners, deadlines, and escalation paths
Ensure business requirements include how-met responses, acceptance and testing criteria, dependencies, architectural alignment, and contractual alignment
Partner with Solutioning, Product, Engineering, and Implementation to translate proposals, contracts, and statements of work into governed designs
Provide business-architecture leadership across Provider DDIs, including configuration readiness, product-gap resolution, client decisions, and implementation transition
Act as a hands-on, servant leader solving complex client solution challenges
Monitor federal and state regulatory changes and maintain compliant Provider processes, business rules, and application designs
Coordinate with executives across engineering, product management, solutioning, and implementation to resolve cross-functional problems
Drive DDI transformation through standardization, reusable assets, automation, AI-enabled design and configuration, and implementation-learning adoption
Measure and improve design reuse, configuration efficiency, quality, cycle time, and cost; make investment needs and tradeoffs visible
Manage a growing team of 50+ professionals supporting Provider DDIs

Requirements

What you’ll need

Bachelor's degree in business, information technology, healthcare administration, engineering, or a related field, or equivalent experience; advanced degree preferred
Fifteen or more years of progressively responsible business architecture, solution architecture, application design, product design, or enterprise healthcare technology experience
Ten or more years leading matrixed teams
Five or more years at the senior director, vice president, or equivalent level
Ten or more years supporting Medicaid, public-sector healthcare, or similarly regulated programs
Five or more years in Medicaid Provider solutions or implementations
Leadership of business architecture and application design for at least two large-scale, multi-workstream implementations or enterprise solution transformations
Experience defining reusable process, requirements, configuration, and governance standards across multiple products, clients, or implementations
Experience resolving complex solutioning challenges with clients while implementing
Proven ability to lead and scale a large-scale team with defined goals/objectives aligned to the broader organization
Demonstrated ownership of at least three core areas: business-process architecture, requirements quality and traceability, application design, configuration governance, or product-gap governance
Proven ability to align Product, Enterprise Architecture, Engineering, Solutioning, Implementation, Customer Experience, and client executives to approved designs, owners, decisions, and target dates
Demonstrated experience translating proposals, contracts, statements of work, and regulatory requirements into executable business and application designs
Quantified improvement in at least two outcomes, such as design reuse, configuration efficiency, cycle time, quality, delivery cost, or reduction of product gaps and custom development

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