Gainwell Technologies

Project Manager

• Assist in keeping projects moving as Gainwell helps clients deliver better health and human services outcomes through technology and innovation
• Lead one or more large project management teams by breaking down operational goals and objectives into actionable plans
• Spearhead project planning, tracking and oversight by providing direction and deadlines to ensure quality and timely task completion
• Communicate with client, company and project team leadership; measure and share project metrics and status; recommend program changes as needed
• Create project schedules, program definitions, budgets and objectives to ensure quality project deliverables across all phases
• Project-manage across teams by escalating risks and implementing risk mitigation solutions
• Manage client, company and project team expectations for agreed-upon project performance by obtaining, providing and monitoring project metrics
• Maintain accurate, up-to-date project artifacts

Communications

• Develop, review, edit, and publish provider-facing communications, including newsletters, bulletins, alerts, policy updates, educational materials, and other provider resources
• Translate complex healthcare policies, regulatory requirements, and operational changes into clear, concise, and actionable communications for healthcare providers
• Collaborate with business partners, subject matter experts, compliance teams, provider relations teams, and client stakeholders
• Manage publication schedules, communication calendars, content development, reviews, and approval workflows across multiple projects and deadlines
• Support provider outreach and education initiatives through written communications, presentations, webinars, training materials, and other educational content
• Serve as a lead resource for provider publications and communication initiatives supporting Medicaid and healthcare programs
• Manage multiple publication cycles, communication initiatives, and high-visibility deliverables
• Directly influence provider experience, communication effectiveness, and stakeholder satisfaction

Provider Communications Lead

• Create and implement complex project definitions, schedules, budgets, and objectives for large or multiple high-complexity projects
• Determine the need for and impact of project scope changes and implement recommendations
• Obtain stakeholder concurrence, approval, and consensus on project aspects
• Identify resources and staff projects
• Organize project teams and ensure communication about deadlines, assignments, and objectives
• Act as point of contact with client project management
• Identify staffing changes or needs as projects progress
• Manage costs, schedules, quality, deliverables, budgets, and timelines
• Review project status, identify risks, and implement mitigation solutions
• Anticipate and manage changes to technical requirements, business requirements, and schedules
• Identify and implement additional resource needs
• Gather information about potential solutions and project objectives
• Manage expectations among clients, company management, and project teams using project metrics
• Recommend and implement changes or alternate paths based on performance metrics
• Develop presentations supporting expanded business opportunities
• Participate in proposal efforts and sales calls
• Manage client expectations and balance company and client needs
• Oversee assigned project personnel, assign work, and provide direction
• Address performance issues and provide performance input at project completion

Principal Project Manager

Analyst

• Lead the development, enhancement, and documentation of rate-setting models for long-term care programs
• Use advanced analytical techniques and large datasets to evaluate costs, trends, and reimbursement outcomes
• Assess how rate changes, policy updates, and cost drivers affect Managed Care Organizations (MCOs)
• Translate business needs into clear data, system, and policy requirements
• Research reimbursement methodologies, program operations, and the long-term care ecosystem to recommend improvements
• Support the development and implementation of capitated rate-setting methodologies for contracted MCOs
• Validate the accuracy and sufficiency of rates produced by established models
• Monitor State and Federal policy changes, with emphasis on Wisconsin Medicaid, and assess operational and financial impact
• Partner with internal teams, business leaders, and external stakeholders to promote transparency and alignment in rate-setting practices
• Prepare written analyses, presentations, and recommendations for leadership, clients, and technical teams

Senior Long-Term Care – Rate Setting Analyst

Business Analyst

• Oversee the entire lifecycle of products during project implementations, from requirements through project go-live
• Develop and maintain relationships across product lines and business units
• Communicate with customers and stakeholders to identify and solve problems
• Oversee implementation from idea intake to delivery of new products, capabilities, integrations, or offerings
• Understand customer experiences and develop customer relationships
• Lead and participate in business and industry workgroups
• Contribute to implementations, product roadmaps, and strategy
• Prioritize work and development efforts according to business impact, timelines, and corporate objectives
• Collaborate with design, architecture, testing, and engineering teams
• Ensure solutions address business problems in strategic initiatives and projects
• Document business requirements, including requirements for system acceptance and adoptability
• Advise business units and customers on available product offerings
• Foster knowledge sharing, innovation, and learning
• Evaluate and improve product configuration and supportability with internal departments and customers
• Serve as a subject matter expert on assigned products
• The role has no direct reports

Pharmacy PBM Solutions Analyst

Customer Support

• Lead end-to-end CX launch initiatives across contact center, mailroom, data entry, back-office operations, and provider-facing program implementations
• Define project scope, objectives, success criteria, and deliverables
• Translate business goals into actionable work plans and measurable milestones
• Develop and manage integrated project plans across business, operational, and technology teams
• Drive cross-functional execution and accountability for deadlines, dependencies, and deliverables
• Ensure operational readiness across contact center, mailroom, data entry, back-office, and provider-facing functions
• Validate staffing, workflows, tools, environments, and access against CX requirements
• Confirm teams meet defined launch criteria before go-live
• Coordinate and oversee go-live and stabilization activities
• Partner with technology teams on system capabilities, access, and configurations without owning technology delivery
• Ensure CX requirements and workflows are represented across cross-functional and technology-dependent workstreams
• Identify, assess, and mitigate risks across operational and technology dependencies
• Lead governance routines, executive status reporting, risk escalation, and decision-making forums
• Communicate information, risks, and tradeoffs to senior leadership and clients
• Improve CX launch methodologies, standards, and operational readiness processes
• Develop and standardize CX launch frameworks, playbooks, and reporting practices
• Mentor and guide project managers

Experienced Project Manager – Customer Experience Operations

Data Analyst

• Lead MMIS Data & Analytics reporting delivery, including operational, financial, claims, encounter, payer, provider, and compliance reporting
• Oversee design, development, and implementation activities for reporting solutions across public sector healthcare clients
• Collaborate with peers, senior managers, deputies, business stakeholders, and technical leads
• Guide data analysts, reporting configuration analysts, and developers to deliver client-aligned reporting outcomes
• Partner with business analysts and technical teams to define reporting requirements, prioritize work, validate outputs, and resolve delivery issues
• Mentor and develop team members, fostering continuous improvement, accountability, and professional growth
• Ensure reporting solutions comply with data governance, privacy, security, and quality standards
• Represent the MMIS Reporting function in leadership discussions, client meetings, and cross-functional initiatives
• Support scope, change requests, pricing, estimation, and delivery planning for reporting engagements

Senior Data Analyst

• Coordinate workstreams and teams on IT projects to align solutions with client business priorities
• Serve as a subject matter expert and liaison for clients and between technical and non-technical workers
• Transform requirements into real results
• Delegate work across teams and coach and monitor project team members
• Plan, design, and improve complex business processes and modifications
• Streamline workflows across clients and technical personnel
• Determine, document, and oversee implementation of system requirements
• Support quality control by approving and validating test results
• Verify that all requirements have been met

General

• Establish and lead PMO governance, project controls, and delivery management processes across the DDI program
• Ensure consistent project management practices, standards, and accountability across all workstreams and domains
• Oversee schedule, scope, deliverables, RAID, change control, reporting, and quality management
• Support executive and client governance through project reviews, leadership reporting, and strategic decision-making
• Lead PMO resources and drive performance against program KPIs, SLAs, and delivery commitments
• Drive governance, schedule performance, deliverable management, RAID management, change control, stakeholder communications, and executive reporting across all program workstreams
• Work closely with the Engagement Lead and Deputy Engagement Lead

PMO Lead

Program Manager

• Serve as the primary liaison with clients and be responsible for overall client satisfaction
• Lead and manage account and contractual aspects, including planning, scheduling, coordination, quality assurance, confidentiality, and workload and financial results reporting
• Manage an operating budget with P/L responsibility, including monthly accrual and revenue and expense projections
• Introduce, negotiate, and implement new projects to expand the engagement scope
• Develop and maintain project status reporting to track, monitor, and complete contract deliverables on time
• Work with senior management to develop and implement a strategic business plan
• Monitor and communicate progress with clients and internal and external stakeholders
• Identify and manage risks and communicate consistently and effectively
• Attend client stakeholder status meetings and present contract work results
• Analyze and report operational results and contract deliverables
• Identify gaps and recommend enhancements to technology, processes, products, and services
• Identify opportunities for value-added services with clients and stakeholders
• Participate in quality management efforts

Director – SGS Program Management

• Lead end-to-end CX launch initiatives across contact center, mailroom, data entry, back-office operations, and provider-facing program implementations
• Define project scope, objectives, success criteria, deliverables, work plans, and measurable milestones
• Develop and manage integrated project plans across business, operational, and technology teams
• Drive cross-functional execution and accountability for deadlines, dependencies, and deliverables
• Ensure operational readiness of staffing, workflows, tools, environments, and access before go-live
• Validate launch criteria and coordinate go-live and stabilization activities
• Partner with technology teams on system capabilities, access, and configurations without owning technology delivery
• Protect CX requirements and workflows across cross-functional and technology-dependent workstreams
• Identify and mitigate risks across operational and technology dependencies
• Lead governance routines, executive status reporting, risk escalation, and decision-making forums
• Communicate risks, tradeoffs, and complex information to senior leadership and clients
• Improve CX launch methodologies, standards, readiness processes, frameworks, playbooks, and reporting practices
• Mentor and guide project managers

• Lead end-to-end CX launch initiatives across contact center, mailroom, data entry, back-office operations, and provider-facing program implementations
• Define project scope, objectives, success criteria, deliverables, work plans, and measurable milestones
• Develop and manage integrated project plans across business, operational, and technology teams
• Drive cross-functional execution and accountability for deadlines, dependencies, and deliverables
• Ensure operational readiness across contact center, mailroom, data entry, back-office, and provider-facing functions
• Validate staffing, workflows, tools, environments, access, and launch criteria before go-live
• Coordinate and oversee go-live and stabilization activities
• Partner with technology teams on system capabilities, access, and configurations without owning technology delivery
• Ensure CX requirements and workflows are represented across workstreams
• Identify, assess, and mitigate operational and technology dependency risks
• Lead governance routines, executive status reporting, risk escalation, and decision-making forums
• Communicate information, risks, and tradeoffs to senior leadership and clients
• Improve CX launch methodologies, standards, and operational readiness processes
• Develop CX launch frameworks, playbooks, and reporting practices
• Mentor and guide project managers

• Lead end-to-end CX client launch initiatives for contact centers and back-office operations from scope definition through go-live and stabilization
• Define project scope, objectives, success criteria, and deliverables
• Translate strategic goals into executable work plans and measurable milestones
• Develop and manage integrated project schedules across Talent Acquisition, Training, Quality, Workforce Management, Reporting, IT, Facilities, Operations, and Executive stakeholders
• Drive cross-functional execution without direct authority and hold teams accountable to deadlines, dependencies, and standards
• Oversee large, complex programs through manageable workstreams with clear ownership, deliverables, and risk controls
• Identify, escalate, and mitigate risks and issues using structured mitigation and contingency plans
• Lead governance routines, executive updates, status reporting, and metric tracking
• Coordinate operational readiness activities including staffing ramp plans, facilities readiness, systems access, reporting setup, knowledge transfer, and go-live validation
• Guide and mentor junior project managers
• Drive continuous improvement in launch methodology, standardization, and operational readiness processes

Senior Project Manager – Customer Experience Operations

Operations

• Lead the design and standardization of provider-facing processes across Medicaid programs, including enrollment, outreach, and site visits
• Define business and technical requirements for provider systems, workflows, and compliance
• Develop reporting frameworks, dashboards, and KPI structures
• Partner with product and engineering teams to align systems and data capture with business and reporting needs
• Drive provider experience improvements that reduce friction and improve access to services
• Support implementation efforts and alignment with enterprise standards and data requirements
• Identify and scale best practices across accounts
• Support governance, executive reporting, roadmap planning, and strategic initiatives

Manager, Provider Operations Strategy and Solutions

QA Engineer

• Conduct quality reviews and audits of healthcare claims and operational processes
• Evaluate accuracy, completeness, and compliance with policies, procedures, and regulatory requirements
• Analyze claims data to identify trends, anomalies, coding errors, quality issues, and improvement opportunities
• Review claims, denials, appeals, provider enrollment, and related operational activities
• Validate data accuracy and identify potential compliance or quality concerns
• Document audit findings and maintain appropriate audit trails
• Analyze quality metrics and communicate findings to operational and non-technical stakeholders
• Participate in root-cause analysis and recommend corrective actions and process improvements
• Support compliance and regulatory reporting, internal and external audits, and quality improvement initiatives
• Partner with claims, clinical, compliance, and operational teams for the Medi-Cal account

Project Manager

Provider Communications Lead

Principal Project Manager

Senior Long-Term Care – Rate Setting Analyst

Pharmacy PBM Solutions Analyst

Experienced Project Manager – Customer Experience Operations

Senior Data Analyst

Business Analyst

PMO Lead

Director – SGS Program Management

Experienced Project Manager – Customer Experience Operations

Experienced Project Manager – Customer Experience Operations

Senior Project Manager – Customer Experience Operations

Manager, Provider Operations Strategy and Solutions

Quality Assurance Compliance Analyst