Modifications Manager

Gainwell Technologies; Wisconsin; Remote; USD 93,000 - 133,000; Full time

Benefits offered by this job

Remote work option

Travel up to 10%

Job summary

Gainwell Technologies is seeking a Modifications Manager to lead the Wisconsin Medicaid modifications portfolio, guiding governance, prioritization, and delivery of system enhancements and modernization initiatives.

You will partner with Wisconsin DHS and Gainwell leadership to direct priorities, manage budgets, and report progress to executives. This leadership role requires coordinating cross-functional teams and managing multiple concurrent projects.

Qualifications

• Bachelor's degree in Business, Information Technology, Healthcare Administration, Project Management, or related field (Master's 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.

Responsibilities

• Lead the Wisconsin modifications portfolio from intake through implementation, ensuring delivery across scope, schedule, budget, and quality.
• 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 with 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.
• Manage cross-project and cross-vendor dependencies and address impacts on scope, schedule, budget, and commitments.
• Deliver executive-level reporting and recommendations to client and organizational leadership.
• Lead and mentor team members responsible for governance, reporting, forecasting, and financial administration.

Skills

Leadership

Portfolio mgmt

Budgeting

Forecasting

Executive communication

Education

Bachelor's degree

Master's degree preferred

Job description

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Modifications Manager

Date: Oct 23, 2026

Location: Any city, WI, US, 99999

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

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.

Your 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 remote
• Travel up to 10%

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

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. 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.