Medicaid Product & Solution Strategist

Gainwell Technologies LLC; Texas; Remote; USD 109,000 - 155,000; Full time

Job summary

Gainwell Technologies LLC is seeking a Medicaid Product & Solution Strategist to shape modernization paths for state Medicaid clients, translating business needs into actionable roadmaps and modular solutions. This senior individual contributor collaborates across product, architecture, engineering, and delivery to align strategy with financial and client outcomes.

Fully remote across the U.S., the role emphasizes leadership, cross-functional collaboration, and building compelling business cases

Qualifications

• 12+ years of experience in Medicaid/MMIS, healthcare technology, product management, or solution architecture.
• Experience leading complex cross-functional initiatives and developing enterprise modernization strategies.
• Ability to translate business and technical requirements into integrated solutions and executive-level recommendations.

Responsibilities

• Develop and lead Medicaid modernization strategies and roadmaps.
• Support Medicaid pursuits, RFPs, renewals, recompetes, and expansions with integrated solution strategies.
• Partner with Product, Architecture, Engineering, Delivery, Finance, and Growth to align capabilities and investments.
• Design cohesive MES and enterprise solutions balancing reusable capabilities with state-specific Medicaid requirements.
• Develop roadmaps and business cases considering cost, risk, and time-to-value.
• Guide modernization strategies from early discussions through DDI implementation and execution.
• Facilitate strategic discussions with state Medicaid leaders and executives; translate technical topics into business recommendations.
• Lead cross-functional solutioning efforts and develop executive presentations and playbooks.

Skills

Medicaid MMIS

Solution architecture

Cross-functional leadership

Executive communication

Job description

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Medicaid Product & Solution Strategist

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

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

The Medicaid Product & Solution Strategist is a senior individual contributor responsible for shaping and advancing modernization strategies for state Medicaid clients and growth opportunities. The role bridges client business needs, product strategy, solution architecture, delivery, and commercial considerations to define practical modernization pathways from current-state Medicaid platforms to modular, interoperable, and increasingly configurable solutions.

Your role in our mission

• Develop and lead Medicaid modernization strategies, assessing current environments and translating business and technology needs into target-state solutions and phased roadmaps.
• Support Medicaid pursuits, RFPs, renewals, recompetes, and expansions by developing integrated solution strategies, recommendations, and business cases.
• Partner across Product, Architecture, Engineering, Delivery, Finance, and Growth to align product capabilities, integrations, dependencies, investment requirements, and delivery approaches.
• Design cohesive MES and enterprise solutions that balance reusable, configurable capabilities with state-specific Medicaid requirements.
• Develop modernization roadmaps and business cases that consider cost, risk, implementation feasibility, time-to-value, and measurable client and financial outcomes.
• Guide modernization strategies from early client discussions and pre-RFP shaping through DDI implementation and execution, maintaining alignment with the overall product vision.
• Facilitate strategic discussions with state Medicaid leaders and internal executives, translating complex technical topics into clear business recommendations and trade-offs.
• Lead cross-functional solutioning efforts and develop executive presentations, modernization playbooks, decision frameworks, and reusable best practices.

What we're looking for

• 12+ years of experience in Medicaid/MMIS, healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization, including experience leading complex cross-functional initiatives.
• Deep knowledge of Medicaid enterprise systems and business capabilities, with demonstrated experience in claims and encounters, EDI/integration, data/analytics, and systems integration.
• Demonstrated experience developing enterprise modernization strategies and solution architectures, including current-state assessment, target-state definition, modular solution design, transition roadmaps, integration dependencies and phased implementation approaches.
• Significant experience supporting complex pursuits, RFPs or client solutioning, with the demonstrated ability to translate business and technical requirements into integrated solutions, executive recommendations, roadmaps and business cases.
• Executive-level communication and cross-functional leadership skills, with demonstrated ability to influence senior client and internal stakeholders and lead work across Product, Architecture, Engineering, Delivery, Growth and Finance without direct reporting authority.

What you should expect in this role

• Fully Remote Opportunity – Work from anywhere in the U.S.
• Minimal Travel Required – Occasional travel opportunities (0-10%).
• 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 November 16, 2026.

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.