Senior Portfolio Strategist, Medicaid Claims Transformation

Role Description

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.

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 shaping platform strategy and turning 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.

• 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.

Qualifications

• 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.
• Experience with AI Product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred.

Requirements

• Fully remote opportunity with the option to work anywhere within the United States.
• Opportunities to travel through your work (0-10%).
• Willingness to work a flexible schedule to accommodate business needs and travel as required.
• Video cameras must be used during all interviews, as well as during the initial week of orientation.
• The deadline to submit applications for this posting is September 30, 2026.
• The pay range for this position is $126,700.00 - $181,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits

• Generous, flexible vacation policy.
• 401(k) employer match.
• Comprehensive health benefits.
• Educational assistance.
• A variety of leadership and technical development academies to help build your skills and capabilities.