Senior Director, Enterprise Performance and Operations

Gainwell Technologies LLC•Any city, OH

2d•$137,100 - $195,800•Remote

About The Position

The Senior Director, Enterprise Performance and Operations is a strategic executive leader responsible for defining and advancing the overall performance strategy for enterprise claims operations. The role establishes the vision, governance, metrics, and reporting cadence needed to improve claims accuracy, operational performance, process consistency, and cost efficiency across the enterprise. The Senior Director partners with claims leaders, state account teams, product, technology, analytics, and other business stakeholders to turn performance insights into scalable operational improvements. Serving as a trusted advisor to senior leadership, this position drives accountability, standardization, and continuous improvement across Medicaid fee-for-service claims operations. The role is 100% remote and requires approximately 25% travel to support key client meetings. The application deadline is November 3, 2026. The stated pay range is $137,100 to $195,800 per year; the offered base pay may vary based on geographic region, internal equity, job-related knowledge, skills, and experience.

Requirements

Bachelor’s degree in business, healthcare administration, operations, analytics, information systems, or a related field.
15+ years of progressive experience in healthcare operations, claims administration, performance management, operational analytics, or a related discipline.
10+ years leading operational teams, enterprise programs, or matrixed organizations.
Demonstrated experience establishing enterprise performance strategies, governance models, standardized KPIs, and executive reporting.
Strong knowledge of Medicaid fee-for-service claims operations, claims lifecycle performance, and healthcare administrative processes.
Proven ability to use data and analytics to identify root causes, guide decisions, and deliver measurable improvements in accuracy, productivity, service, and cost.
Track record of leading complex initiatives spanning people, process, data, and technology.
Experience designing dashboards, scorecards, reporting cadences, and operational review processes for executive and operational audiences.
Experience managing departmental budgets, business cases, and cost optimization initiatives.
Strong executive presence and communication skills, with the ability to influence clients, operational leaders, and C-suite executives.
Strategic, innovative, and collaborative leadership style, with demonstrated success building teams and leading through growth and change.

Nice To Haves

Advanced degree.

Responsibilities

Set and execute the enterprise performance strategy for claims operations, aligning accuracy, service, financial, compliance, and operational objectives.
Establish an enterprise performance management framework, including governance, standardized definitions, targets, scorecards, and accountability mechanisms.
Develop and oversee a Medicaid fee-for-service claims performance dashboard covering accuracy, throughput, timeliness, inventory, rework, productivity, and cost.
Create reporting and operating cadences for enterprise claims teams and senior leadership, highlighting performance trends, risks, root causes, and recommended actions.
Standardize key performance indicators and measurement methodologies across claims teams to support consistent evaluation, benchmarking, and decision-making.
Evaluate operational efficiency across people, processes, and technology to identify opportunities to improve quality, simplify workflows, reduce administrative burden, and optimize cost.
Translate data and performance insights into best-practice recommendations and prioritized improvement roadmaps for operational teams.
Lead continuous improvement initiatives addressing systemic performance gaps, strengthening controls, and creating sustainable operational outcomes.
Partner with enterprise claims leaders to establish performance targets, monitor progress, and drive accountability for corrective and preventive actions.
Collaborate with analytics, product, engineering, and IT teams to improve data quality, automation, reporting capabilities, and operational technology.
Advise state sector leaders, account general managers, and executive leadership on enterprise claims performance, emerging risks, and strategic improvement opportunities.
Incorporate client needs and voice-of-customer insights into performance priorities, process standards, and operational solutions.
Assess industry trends, regulatory developments, and market practices to strengthen the enterprise claims operating model and performance strategy.
Support proposals, client discussions, and strategic initiatives by explaining the organization's claims performance capabilities, operating standards, and value proposition.
Build and lead a high-performing enterprise performance team able to navigate growth, organizational change, and complex matrixed environments.