Principal Solution Delivery & Business Architect, Medicaid Provider

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

Lead business solution architecture and integrated delivery for complex Medicaid Provider implementations. This Principal-level role is accountable for business alignment, execution, readiness, quality, and measurable client outcomes across Provider Design, Development, and Implementation (DDI) delivery.

The position shapes future-state capabilities, leads cross-discipline teams, influences critical program decisions, and drives transformation from discovery through implementation and go-live. The role translates business objectives, policies, and stakeholder needs into future-state capabilities, processes, requirements, and solution direction while coordinating functional, data, testing, PMO, vendor, architecture, and operational workstreams. It governs the end-to-end business solution, manages dependencies, risks, tradeoffs, and executive escalations, and maintains alignment across the business solution and integrated delivery plan.

As deputy to the Engagement Lead, the position supports client governance and key program decisions, acts on the Engagement Lead’s behalf when delegated, and maintains leadership continuity across the engagement. This provides direct experience supporting client governance, executive decisions, escalations, and integrated program leadership. The role may take on additional leadership responsibilities based on performance, program needs, and available business opportunities.

Your role in our mission

• Own integrated Provider DDI delivery plans, milestones, dependencies, budgets, and readiness gates.
• Lead the integrated delivery operating model, driving accountability and alignment across business, functional, technical, data, testing, PMO, vendor, architecture, and operational teams.
• Own customer process analysis, define future-state capabilities and operating models, and drive approved improvements through implementation.
• Translate business objectives, policies, contractual commitments, and stakeholder needs into business capabilities, requirements, solution principles, and implementation priorities.
• Own and govern the business solution architecture, ensuring alignment among business processes, requirements, functional designs, technical designs, integrations, and operational needs.
• Manage cross-workstream dependencies, delivery tradeoffs, sequencing conflicts, blockers, and critical-path risks with clear recommendations and recovery actions.
• Drive resolution and documentation of architectural issues, gaps, assumptions, decisions, and changes, ensuring corrective actions are reflected across delivery artifacts.
• Own integrated readiness across SIT, UAT, operational readiness, deployment preparation, and go-live.
• Translate delivery risks, architecture impacts, and readiness gaps into business implications, decision options, and executive recommendations.
• Serve as deputy to the Engagement Lead, supporting client governance, executive communications, stakeholder alignment, escalations, and key program decisions.
• Act on behalf of the Engagement Lead when delegated, maintaining leadership continuity and ensuring timely decisions and follow-through across the engagement.

What we're looking for

Required Qualifications

• Bachelor’s degree in business, information technology, engineering, healthcare administration, or a related field, or an equivalent combination of education and relevant experience.

• Seven or more years of progressive solution delivery leadership experience in large-scale implementation environments.
• Leadership experience on at least one complex Provider, Medicaid Enterprise, healthcare, or highly regulated delivery program involving multiple workstreams, vendors, and client stakeholders.
• Experience connecting business strategy and policy requirements to executable functional, technical, data, integration, and operational designs.
• Experience facilitating complex design decisions and obtaining alignment across business, architecture, delivery, vendor, and technical teams.

Preferred Qualifications

• Direct experience with Medicaid Provider DDI programs.
• Experience presenting delivery risks, architecture impacts, decision options, or recommendations to client executives or senior leaders.
• Experience across multiple implementation stages, including design, testing, operational readiness, deployment preparation, or go-live.

Succes in this role looks like

• Business objectives, processes, requirements, solution designs, and delivery plans remain aligned from discovery through implementation and operational readiness.
• Business architecture decisions are documented, traceable, communicated, and consistently reflected across functional and technical workstreams.
• Gaps and inconsistencies are identified early and resolved before they create downstream design, testing, deployment, or operational issues.
• The Engagement Lead has a trusted deputy who can maintain leadership continuity, represent the integrated program perspective, and drive timely client and delivery decisions

What you should expect in this role

• This position is 100% remote with up to 15% travel annually

• A Principal-level role working across business, functional, technical, data, testing, PMO, vendor, architecture, and operational teams.
• The opportunity to shape future-state capabilities and operating models, drive approved improvements through implementation, and influence transformation from discovery through go-live.
• Direct involvement in client governance, executive communications, escalations, and key program decisions while serving as deputy to the Engagement Lead.
• The opportunity to build broader engagement leadership experience by supporting client governance, executive decisions, escalations, and integrated program leadership.

Applications for this position will be accepted until 11/30/2026.

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The pay range for this position is $130,000 - $180,000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.