Principal Solution Delivery & Business Architect, Medicaid Provider

Gainwell Technologies LLC•Any city, OH
•$130,000 - $180,000•Remote

About The Position

Gainwell Technologies is hiring a Principal Solution Delivery & Business Architect to lead business solution architecture and integrated delivery for complex Medicaid Provider implementations. The role is accountable for business alignment, execution, readiness, quality, and measurable client outcomes across Provider Design, Development, and Implementation (DDI) delivery. It shapes future-state capabilities, leads cross-discipline teams, influences program decisions, and drives transformation from discovery through implementation and go-live. The position translates business objectives, policies, contractual commitments, and stakeholder needs into future-state capabilities, processes, requirements, solution direction, and implementation priorities. It coordinates functional, data, testing, PMO, vendor, architecture, technical, and operational workstreams, governing the end-to-end business solution and maintaining alignment with the integrated delivery plan. It manages dependencies, risks, tradeoffs, and executive escalations, and owns integrated readiness across testing, operational readiness, deployment preparation, and go-live. As deputy to the Engagement Lead, the role supports client governance and key program decisions, acts on the Engagement Lead’s behalf when delegated, and maintains leadership continuity across the engagement. The position is 100% remote with up to 15% annual travel. Applications are accepted until November 30, 2026.

Requirements

  • Bachelor’s degree in business, information technology, engineering, healthcare administration, or a related field, or an equivalent combination of education and relevant experience.
  • Seven or more years of progressive solution delivery leadership experience in large-scale implementation environments.
  • Leadership experience on at least one complex Provider, Medicaid Enterprise, healthcare, or highly regulated delivery program involving multiple workstreams, vendors, and client stakeholders.
  • Experience connecting business strategy and policy requirements to executable functional, technical, data, integration, and operational designs.
  • Experience facilitating complex design decisions and obtaining alignment across business, architecture, delivery, vendor, and technical teams.

Nice To Haves

  • Direct experience with Medicaid Provider DDI programs.
  • Experience presenting delivery risks, architecture impacts, decision options, or recommendations to client executives or senior leaders.
  • Experience across multiple implementation stages, including design, testing, operational readiness, deployment preparation, or go-live.

Responsibilities

  • Own integrated Provider DDI delivery plans, milestones, dependencies, budgets, and readiness gates.
  • Lead the integrated delivery operating model, driving accountability and alignment across business, functional, technical, data, testing, PMO, vendor, architecture, and operational teams.
  • Own customer process analysis, define future-state capabilities and operating models, and drive approved improvements through implementation.
  • Translate business objectives, policies, contractual commitments, and stakeholder needs into business capabilities, requirements, solution principles, and implementation priorities.
  • Own and govern the business solution architecture, ensuring alignment among business processes, requirements, functional designs, technical designs, integrations, and operational needs.
  • Manage cross-workstream dependencies, delivery tradeoffs, sequencing conflicts, blockers, and critical-path risks with clear recommendations and recovery actions.
  • Drive resolution and documentation of architectural issues, gaps, assumptions, decisions, and changes, ensuring corrective actions are reflected across delivery artifacts.
  • Own integrated readiness across SIT, UAT, operational readiness, deployment preparation, and go-live.
  • Translate delivery risks, architecture impacts, and readiness gaps into business implications, decision options, and executive recommendations.
  • Serve as deputy to the Engagement Lead, supporting client governance, executive communications, stakeholder alignment, escalations, and key program decisions.
  • Act on behalf of the Engagement Lead when delegated, maintaining leadership continuity and ensuring timely decisions and follow-through across the engagement.

Benefits

  • Generous, flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
  • Leadership and technical development academies
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