Provider Enrollment and Screening
About The Position
The Provider+ Data Enrollment and Screening Product Owner is responsible for guiding the development, delivery, and evolution of Provider+ Enrollment and Screening capabilities with a strong focus on quality, updated data supporting enrollment, re-enrollment, revalidation, screening, FWA prevention, and accurate provider directories. This role supports both active production clients, clients in implementation, and opportunity pursuits ensuring that functionality meets regulatory requirements, operational realities, and contractual commitments while advancing the future-state vision of the platform. Acting as the primary bridge between clients, operations, policy, and engineering teams, the Product Owner owns the end-to-end Provider+ Provider Enrollment and Screening module product backlogs and ensures accurate, compliant, and scalable systems. The role emphasizes practical execution in live client environments while also shaping the longer-term modernization and evolution of the Provider+ platform.
Requirements
- 5+ years of experience as a Product Owner, Business Analyst, or Product Manager, preferably in the Medicaid or broader public health sector
- Provider enrollment and screening knowledge
- Solid understanding of Medicaid programs, policies, and business processes such as provider management, claims, encounters, and prior authorization.
- Strong experience working within Agile/Scrum environments
- Proficient in backlog management, requirements gathering, and stakeholder communication
- Excellent organizational, presentation, analytical, and interpersonal skills
Responsibilities
- Own the product vision, roadmap, and backlog for Provider+ Enrollment and Screening modules.
- Translate complex business and regulatory requirements into actionable user stories and features with clear acceptance criteria.
- Own and manage the product backlog, ensuring it reflects business value, stakeholder input, and technical feasibility.
- Continuously groom the backlog based on changing needs, emerging priorities, and iterative feedback.
- Develop and maintain Product Roadmaps aligned with other related and critical Product areas – working closely with Product Managers and other Product Owners.
- Focusing and leading the future strategy and needs of the solution area this individual would be responsible for.
- Act as a liaison between internal/external development teams and Gainwell/client stakeholders to ensure shared understanding of priorities and goals.
- Participate in Agile practices such as sprint planning, backlog refinement, reviews, and retrospectives to guide delivery and maximize team output.
- Provide day-to-day directions to development/testing teams, answer questions, and clarify user stories as needed to unblock progress as well as participating in solutioning/designing of application alongside of technical leads.
- Understand and be able test within the product(s) which includes executing processes, reviewing testing results, and approving development/testing work for final release.
- Ensure the final product meets quality expectations, user needs, and compliance requirements specific to Medicaid programs.
- Collaborating on sales activities and meeting client needs.
- Ensure accurate implementation of Medicaid policy, CMS guidance, and state‑specific rules for Provider Enrollment and Screening.
- Support defect triage and prioritization related to provider enrollment and screening issues impacting active clients.
- Support and evolve provider enrollment and screening integration between systems.
- Partner with Provider+ engineering, operations, and technical teams to ensure alignment across modules and downstream systems.
- Incorporate policy changes and operational needs into backlog prioritization and platform enhancements.
- Participate in client discussions, demos, and working sessions to explain functionality, roadmap direction, and platform capabilities.
- Collaborate with implementation teams to reduce customization, improve configurability, and accelerate onboarding of new clients.
Benefits
- work flexibility
- learning
- career development
- technical credentials and certifications
- generous, flexible vacation policy
- educational assistance
- comprehensive leadership and technical development academies
- Opportunities to travel through your work (0-10%)
- Willingness to work a flexible schedule to accommodate business needs and travel as required
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- variety of leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
