Medicaid Product & Solution Strategist

Gainwell Technologies LLC•Any city, OH

1d•$108,500 - $155,000•Remote

About The Position

The Medicaid Product & Solution Strategist is a senior individual contributor who shapes and advances modernization strategies for state Medicaid clients and growth opportunities. The role bridges client business needs, product strategy, solution architecture, delivery, and commercial considerations to define practical modernization pathways from current-state Medicaid platforms to modular, interoperable, and increasingly configurable solutions. The strategist develops modernization strategies, assesses current environments, translates business and technology needs into target-state solutions and phased roadmaps, and supports pursuits, RFPs, renewals, recompetes, and expansions. The role partners across Product, Architecture, Engineering, Delivery, Finance, and Growth to align product capabilities, integrations, dependencies, investments, and delivery approaches. It also guides strategy from early client discussions through DDI implementation and execution, facilitates discussions with state Medicaid leaders and internal executives, and leads cross-functional solutioning and development of executive presentations, playbooks, decision frameworks, and reusable best practices.

Requirements

12 or more years of experience in Medicaid/MMIS, healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization, including experience leading complex cross-functional initiatives.
Deep knowledge of Medicaid enterprise systems and business capabilities, with demonstrated experience in claims and encounters, EDI/integration, data/analytics, and systems integration.
Demonstrated experience developing enterprise modernization strategies and solution architectures, including 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, with the ability to translate business and technical requirements into integrated solutions, executive recommendations, roadmaps, and business cases.
Executive-level communication and cross-functional leadership skills, including the ability to influence senior client and internal stakeholders and lead work across Product, Architecture, Engineering, Delivery, Growth, and Finance without direct reporting authority.

Responsibilities

Develop and lead Medicaid modernization strategies by assessing current environments and translating business and technology needs into target-state solutions and phased roadmaps.
Support Medicaid pursuits, RFPs, renewals, recompetes, and expansions by developing integrated solution strategies, recommendations, and business cases.
Partner across Product, Architecture, Engineering, Delivery, Finance, and Growth to align product capabilities, integrations, dependencies, investment requirements, and delivery approaches.
Design cohesive MES and enterprise solutions that balance reusable, configurable capabilities with state-specific Medicaid requirements.
Develop modernization roadmaps and business cases that consider 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, maintaining alignment with the overall product vision.
Facilitate strategic discussions with state Medicaid leaders and internal executives, translating complex technical topics into clear business recommendations and trade-offs.
Lead cross-functional solutioning efforts and develop executive presentations, modernization playbooks, decision frameworks, and reusable best practices.