Senior Application Architect (Medicaid Technology)

Gainwell Technologies LLC•Any city, OH

12d•$95,100 - $135,800•Remote

About The Position

The Application Architect is the senior technology leader responsible for defining and executing architecture strategy, roadmaps, and modernization vision for a Medicaid account. The role aligns technology with business goals, regulatory requirements, and operational excellence, and provides architecture leadership across applications, cloud, data, integration, security, infrastructure, and emerging technologies. It also serves as a trusted technical advisor to state Medicaid agencies and internal stakeholders. The position leads architecture governance and modernization initiatives, guides cloud adoption and interoperability strategies, and oversees technical risk, technical debt, and solution architecture across the software development lifecycle. Solutions must be scalable, secure, resilient, and aligned with enterprise standards and applicable Medicaid, healthcare, security, and contractual requirements. This is a fully remote opportunity within the U.S., with occasional travel (0–10%). The role's application deadline is November 20, 2026. The stated annual pay range is $95,100 to $135,800, with the actual offer varying according to factors such as geographic region, internal equity, knowledge, skills, and experience.

Requirements

At least 9 years of experience in enterprise, solution, or technology architecture, including leadership of large-scale architecture initiatives and strategic technology roadmaps.
At least 7 years of Medicaid, MMIS, MES, healthcare payer, or government healthcare experience supporting complex, mission-critical systems and working directly with state agencies or government clients.
Strong expertise in application, integration, data, cloud, infrastructure, and security architecture, including experience modernizing legacy systems and enterprise platforms.
Experience establishing architecture governance frameworks and using enterprise architecture methodologies and tools such as LeanIX, TOGAF, or equivalent platforms.
Deep understanding of modern software engineering practices, including SDLC, DevSecOps, CI/CD, security, privacy, compliance, risk management, and technology lifecycle governance.

Nice To Haves

Experience with CMS Medicaid Enterprise Architecture (MEA), MITA, modular MMIS/MES implementations, and CMS certification requirements.
Hands-on experience with AWS or Azure, Oracle, SQL Server, PostgreSQL, and large-scale healthcare technology environments.
Experience designing and supporting APIs, REST services, event-driven integrations, data lakes, data warehouses, analytics/AI platforms, and identity and access management solutions.

Responsibilities

Define and drive the technology architecture strategy, roadmap, and modernization initiatives for a large-scale Medicaid account, aligning technology investments with business and contractual objectives.
Lead architecture governance, establish standards and best practices, and oversee application, integration, cloud, infrastructure, and security architectures.
Serve as senior technical advisor to state Medicaid agencies, partnering with business and technical stakeholders on strategic planning, governance, audits, and modernization.
Guide application modernization, cloud adoption, and API and integration strategies, ensuring solutions are scalable, secure, resilient, and aligned with enterprise architecture standards.
Ensure compliance with Medicaid, HIPAA, CMS, NIST, IRS 1075, and other regulatory and contractual requirements while promoting secure-by-design architecture practices.
Drive interoperability and data exchange strategies, supporting APIs, integrations, ETL processes, and healthcare interoperability frameworks.
Lead technical risk, technical debt, and solution oversight activities across the software development lifecycle, providing architectural guidance for complex programs and mission-critical Medicaid systems.