Manager, Provider Operations Strategy and Solutions

About the role

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

The Manager, Provider Operations Strategy and Solutions role serves as a key leader responsible for driving standardized, scalable provider operational and technical solutions across Gainwell’s Medicaid accounts. This role partners with operations, product, engineering, and client stakeholders to design, implement, or optimize provider enrollment, outreach, system capabilities, reporting frameworks, and service delivery models. The ideal candidate brings experience in Medicaid operations and implementations, with strong knowledge of provider workflows, reporting tools and customer experience platforms (CRM, workflow tools, provider portals). This role combines operational strategy, technical solutioning, and analytics to improve provider experience, efficiency, and compliance.

Responsibilities

• Leading the design and standardization of provider-facing processes (e.g., enrollment, outreach, site visits) across Medicaid programs
• Defining business and technical requirements to support provider systems, workflows, and compliance
• Developing reporting frameworks, dashboards, and KPI structures to drive operational visibility and performance
• Partnering with product and engineering teams to ensure systems and data capture meet business and reporting needs
• Driving provider experience improvements that reduce friction and improve access to services
• Supporting implementation efforts to ensure alignment with enterprise standards and data requirements
• Identifying and scaling best practices across accounts, including process, reporting, and performance models
• Supporting governance, executive reporting, roadmap planning, and strategic initiatives

Requirements

• 5+ years of experience in Medicaid operations or technical service delivery
• Strong understanding of provider services (enrollment, screening, outreach, publications/communications, and support)
• Experience leading business process improvement, system implementation, or operational transformation initiatives across operations, product, and technology teams
• Strong analytical, problem-solving, and stakeholder management skills

Benefits

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

Pay

The pay range for this position is $86,700.00 - $123,900.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

Opportunities to travel through your work (25%). Fully remote position within the US. Applications for this role will be accepted until 10/5/2026.