Principal Solution Delivery Lead - 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

Provides Principal-level leadership for business solution architecture and integrated Provider DDI delivery, with accountability for business alignment, execution, readiness, quality, and measurable client outcomes. The role translates business objectives, policies, and stakeholder needs into future-state capabilities, processes, requirements, and solution direction while orchestrating 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 drives alignment from discovery through implementation and go-live. 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.

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

• Bachelor’s degree or equivalent combination of education and experience; degree in business, information technology, engineering, healthcare administration, or related field preferred.
• Seven or more years of progressive solution delivery leadership experience in large-scale implementation environments.
• Experience leading complex Provider, Medicaid Enterprise, healthcare, or highly regulated delivery programs across multiple workstreams, vendors, and client stakeholders.
• Ability to connect business strategy and policy requirements to executable functional, technical, data, integration, and operational designs.
• Experience facilitating complex design decisions and obtaining alignment among client executives, business owners, architects, delivery leaders, vendors, and technical teams.

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

Applications for this position will be accepted until 11/9/2026.

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The pay range for this position is $108,500.00 - $155,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.