Medicaid Product Strategy Lead(Medicaid Products & AI Enabled Modernization)

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

Benefits offered by this job

Remote work

Educational assistance

Leadership development academies

Flexible vacation policy

Job summary

Gainwell Technologies LLC in the United States is seeking a Principal Product Manager to lead Medicaid capabilities into reusable configurable products. You will own the strategy, roadmap, and outcomes for an assigned product domain, connecting client needs, Medicaid policy, operational expertise, technology, and user experience.

This senior individual contributor role with significant influence across product, engineering, architecture, design, implementation, and operations.

Qualifications

• 12+ years leading complex enterprise products in Medicaid or related domains.
• Experience from discovery through delivery, adoption and measurable improvement.
• Ability to translate policies into concrete product behavior and acceptance criteria.

Responsibilities

• Own product strategy and outcomes. Define the problems to solve, the value to clients and Gainwell, and a roadmap that balances client commitments, product investment, quality, and commercial opportunity.
• Turn client needs into reusable capabilities. Distinguish common Medicaid needs from state-specific requirements. Define configurable rules, workflows, and integration patterns that support multiple clients while reducing custom development.
• Make business knowledge executable and testable. Translate policies, operational processes, and legacy system behavior into clear requirements, business rules, acceptance criteria, configuration specifications, and test scenarios.
• Apply AI to meaningful product and delivery problems. Partner with AI teams to advance business rule extraction, configuration assistance, requirements analysis, data mapping, test preparation, and operational research. Define where expert review and validation are required.
• Build the product knowledge foundation. Work with domain experts to capture policy, rules, configuration, design decisions, and client variations in a maintained knowledge layer that supports delivery and ongoing operations.
• Design for transparency and usability. Partner with product design and engineering to help users understand how a claim or transaction processed, trace decisions to supporting rules, and resolve issues efficiently.
• Lead discovery through adoption. Validate opportunities with clients and users, define MVP scope, guide delivery, and support implementation readiness, training, adoption, and continuous improvement.
• Shape practical modernization paths. Work with architecture and delivery teams to introduce modular capabilities alongside existing platforms and sequence migration according to client value, dependencies, and readiness.
• Measure results. Establish measures for configuration turnaround, implementation effort, adoption, processing accuracy, manual workload, and product economics. Use results to guide priorities.
• Raise the product management standard. Mentor product managers and domain experts, strengthen product artifacts, and help teams make clear, evidence-based decisions.

Skills

Medicaid domain expertise

Product strategy leadership

AI in product

Remote collaboration

Job description

Select how often (in days) to receive an alert:

Medicaid Product Strategy Lead(Medicaid Products & AI Enabled Modernization)

Location:

Any city, AZ, 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

At Gainwell, we are making Medicaid easier by turning complex business knowledge into products that are easier to configure, understand, operate, and improve. We are seeking Principal Product Managers to lead the evolution of Medicaid capabilities into reusable, configurable products. You will own the strategy, roadmap, and outcomes for an assigned product domain, connecting client needs, Medicaid policy, operational expertise, technology, and user experience.

This is a senior individual contributor role with significant influence across product, engineering, architecture, design, implementation, and operations. You will lead through expertise, evidence, and clear decisions while mentoring others and advancing how we build and deliver products.

Your role in our mission

• Own product strategy and outcomes. Define the problems to solve, the value to clients and Gainwell, and a roadmap that balances client commitments, product investment, quality, and commercial opportunity.
• Turn client needs into reusable capabilities. Distinguish common Medicaid needs from state-specific requirements. Define configurable rules, workflows, and integration patterns that support multiple clients while reducing custom development.
• Make business knowledge executable and testable. Translate policies, operational processes, and legacy system behavior into clear requirements, business rules, acceptance criteria, configuration specifications, and test scenarios.
• Apply AI to meaningful product and delivery problems. Partner with AI teams to advance business rule extraction, configuration assistance, requirements analysis, data mapping, test preparation, and operational research. Define where expert review and validation are required.
• Build the product knowledge foundation. Work with domain experts to capture policy, rules, configuration, design decisions, and client variations in a maintained knowledge layer that supports delivery and ongoing operations.
• Design for transparency and usability. Partner with product design and engineering to help users understand how a claim or transaction processed, trace decisions to supporting rules, and resolve issues efficiently.
• Lead discovery through adoption. Validate opportunities with clients and users, define MVP scope, guide delivery, and support implementation readiness, training, adoption, and continuous improvement.
• Shape practical modernization paths. Work with architecture and delivery teams to introduce modular capabilities alongside existing platforms and sequence migration according to client value, dependencies, and readiness.
• Measure results. Establish measures for configuration turnaround, implementation effort, adoption, processing accuracy, manual workload, and product economics. Use results to guide priorities.
• Raise the product management standard. Mentor product managers and domain experts, strengthen product artifacts, and help teams make clear, evidence-based decisions.

What we're looking for

• 12+ years experience leading complex enterprise products, projects, configuration or operational organizations, with deep expertise in Medicaid, healthcare payer systems, or a closely related domain.
• Experience taking products or major capabilities from discovery through delivery, adoption, and measurable improvement.
• Ability to translate complex policies and business processes into clear product behavior, requirements, and acceptance criteria.
• Experience balancing individual client needs with a scalable product strategy.
• Strong judgment about scope, sequencing, investment, dependencies, and tradeoffs.
• Technical fluency sufficient to collaborate on modular architecture, APIs, integrations, data dependencies, and configurable business rules.
• Practical experience applying AI to product or delivery workflows, including evaluating output quality and establishing appropriate human review.
• Strong communication and influence across executives, clients, domain experts, and technical teams.

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 December 30, 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.