Provider Enrollment and Screening

About the role

The Provider+ Data Enrollment and Screening Product Owner is responsible for guiding the development, delivery, and evolution of Provider+ Enrollment and Screening capabilities. 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.

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.
• Cross-Functional Collaboration:
  • 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.
  • Collaborate on sales activities and meet client needs.

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.

Qualifications

• Master's degree in Computer Science, Information Systems, or a related field.
• Experience with Medicaid regulations and policies.
• Experience with Agile methodologies and tools.
• Experience with product backlog management and prioritization.
• Experience with cross-functional collaboration and stakeholder engagement.

Skills

• Strong problem-solving and decision-making skills.
• Excellent communication and interpersonal skills.
• Ability to prioritize and manage multiple projects simultaneously.
• Experience with project management tools and methodologies.
• Knowledge of Medicaid regulations and policies.

Benefits

• Flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.

Pay

The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.