Senior Portfolio Strategist, Medicaid Claims Transformation
About The Position
Gainwell Technologies is seeking a Senior Portfolio Strategist, Medicaid Claims Transformation, to lead Medicaid claims-related product domains as part of the transformation of our core adjudication products. This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive-level influence on shape platform strategy and turn complex payer and program needs into product direction. The Senior Portfolio Strategist, Medicaid Claims Transformation will own domain strategy and outcomes across one or more claims-adjacent domains, including member, provider, benefits, clinical, and finance. The role will partner across product, engineering, architecture, operations, client-facing teams, and business stakeholders to modernize how Gainwell defines, builds, measures, and evolves core Medicaid capabilities.
Requirements
- 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis, with a proven ability to drive product strategy, innovation, and business outcomes.
- Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions to meet complex business and operational requirements.
- Strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies, with the ability to align technical capabilities with business objectives.
- Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions, leveraging software development tools, methodologies, and best practices.
- Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments.
Nice To Haves
- Experience with AI Product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred.
Responsibilities
- Define portfolio-level product direction for Medicaid claims-related domains, connecting member, provider, benefits, clinical, and finance capabilities into a coherent transformation roadmap.
- Shape enterprise product strategy for core adjudication modernization, including platform direction, domain boundaries, operating model implications, and investment priorities.
- Lead cross-division alignment around product portfolio decisions, strategic tradeoffs, sequencing, and measurable transformation outcomes.
- Assess the current product portfolio, workflows, domain dependencies, technical constraints, client needs, market forces, and Medicaid policy realities to identify the highest-value transformation opportunities.
- Use portfolio frameworks, organizational assessments, product economics, data, and market insight to evaluate opportunities and guide executive decisions.
- Partner with product, engineering, architecture, operations, delivery, client-facing, growth, and executive stakeholders to align strategy with scalable execution.
- Set product standards and operating rhythms that strengthen discovery, prioritization, road mapping, measurement, and decision quality across multiple product teams.
- Influence enterprise transformation choices involving legacy capabilities, platform modernization, interoperability, data, automation, workflow redesign, and domain ownership.
- Build clear narratives for executives and senior stakeholders, including portfolio direction, transformation rationale, investment tradeoffs, and progress against outcomes.
- Provide thought leadership and coaching to product leaders and cross-functional partners, raising product maturity across the organization.
Benefits
- Work flexibility
- Learning
- Career development
- Technical credentials and certifications
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive leadership and technical development academies
- Fully remote opportunity with the option to work anywhere within the United States
- 401(k) employer match
- Comprehensive health benefits
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
