Modifications Manager

Gainwell Technologies LLC; Madison (WI); Remote; USD 93,000 - 133,000; Full time

Job summary

Gainwell Technologies seeks a Modifications Manager to lead the Wisconsin Medicaid portfolio, directing planning, governance, and delivery to meet client expectations and contractual commitments.

You will oversee a complex program of system enhancements and modernization initiatives, coordinating with Wisconsin DHS, account leadership, and stakeholders to ensure aligned priorities and successful outcomes.

Qualifications

• Bachelor's degree in related field (Business, IT, Healthcare Administration, Project Management)
• 10+ years in program/portfolio/project/delivery management in a complex tech environment
• 5+ years leadership overseeing cross-functional teams and large-scale initiatives
• Experience managing multiple concurrent projects, budgets, and stakeholder groups
• Experience presenting to and partnering with executive-level clients and leadership teams
• Strong knowledge of portfolio management, governance, resource planning, forecasting, financial oversight, risk management
• Experience with software development and systems delivery lifecycles
• Ability to influence and collaborate across business, operational, and technical orgs
• Preferred Medicaid/MMIS/government tech or regulated public-sector experience

Responsibilities

• Lead the Wisconsin modifications portfolio from intake through implementation.
• Establish and continuously improve portfolio governance processes and reporting standards.
• Partner with Wisconsin DHS and Gainwell leadership to define priorities and roadmaps.
• Monitor portfolio health, risks, dependencies, and delivery performance.
• Oversee budgeting, forecasting, invoicing, and financial performance.
• Manage cross-project and cross-vendor dependencies and impacts on scope/budget.
• Deliver executive-level reporting and recommendations to client and leadership.
• Mentor team members responsible for governance, reporting, forecasting, and financial administration.

Skills

Portfolio management

Leadership

Governance

Forecasting

Budgeting

Stakeholder management

Cross-functional teams

Executive communication

Project delivery

Risk management

Education

Bachelor's degree in Business/Information Technology/Healthcare Administration/Project Management

Master's degree

Job description

Summary

Gainwell Technologies is seeking a Modifications Manager to lead the planning, governance, and delivery of the Wisconsin Medicaid modifications portfolio. In this leadership role, you will oversee a complex portfolio of system enhancements and modernization initiatives, ensuring projects are prioritized, staffed, governed, and delivered in alignment with client expectations, contractual commitments, and organizational objectives.As a member of the Wisconsin leadership team, you will serve as a key liaison between Wisconsin DHS, account leadership, project management teams, and business stakeholders. You will provide strategic direction, portfolio oversight, financial stewardship, resource planning, and executive-level communication to drive successful outcomes across the modification portfolio.

Role in our mission

• Lead the Wisconsin modifications portfolio from intake through implementation, ensuring successful delivery of initiatives across scope, schedule, budget, and quality expectations.
• Establish and continuously improve portfolio governance processes, prioritization frameworks, intake workflows, performance metrics, and reporting standards.
• Partner with Wisconsin DHS and Gainwell leadership to define priorities, delivery commitments, and portfolio roadmaps.
• Monitor portfolio health, risks, dependencies, resource capacity, and delivery performance while driving issue resolution and escalation management.
• Review and validate project estimates, staffing plans, schedules, and delivery commitments across multiple concurrent initiatives.
• Oversee modification-related budgeting, forecasting, invoicing, and financial performance to ensure responsible stewardship of funding.
• Manage cross-project and cross-vendor dependencies and ensure impacts to scope, schedule, budget, and implementation commitments are identified and addressed.
• Deliver executive-level reporting and recommendations to client and organizational leadership.
• Lead and mentor team members responsible for governance, reporting, forecasting, and financial administration.

What we're looking for

• Bachelor's degree in Business, Information Technology, Healthcare Administration, Project Management, or a related field.
• Master's degree preferred.
• 10+ years of experience in program, portfolio, project, or delivery management within a complex technology environment.
• 5+ years of leadership experience overseeing cross-functional teams and large-scale initiatives.
• Experience managing multiple concurrent projects, budgets, and stakeholder groups.
• Experience presenting to and partnering with executive-level clients and leadership teams.
• Strong knowledge of portfolio management, governance, resource planning, forecasting, financial oversight, and risk management.
• Experience with software development and systems delivery lifecycles.
• Ability to influence and collaborate across business, operational, and technical organizations.
• Preferred experience supporting Medicaid, MMIS, healthcare payer, government technology, or other regulated public-sector programs.

What you should expect in this role

• Opportunity to work remoteTravel up to 10%

Salary and Benefits

The pay range for this position is $92,800.00 - $132,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

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.

Company Culture

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.

Equal Opportunity Employer

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.