Product Manager, Medicaid Claims Transformation

Gainwell Technologies; Northern (KY); Hybrid; USD 109,000 - 155,000; Full time

Benefits offered by this job

Flexible vacation policy

Educational assistance

Leadership development academies

Technical development academies

401(k) employer match

Comprehensive health benefits

Job summary

Gainwell Technologies is seeking a Product Manager, Medicaid Claims Transformation to lead Medicaid claims domains as part of modernizing core adjudication products. This role blends deep Medicaid expertise with modern product management practices and executive-level influence on platform strategy.

You will own domain strategy across one or more claims-adjacent areas, partnering with engineering, architecture, operations, and client-facing teams to drive measurable outcomes and scalable product

Qualifications

• 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis.
• Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions.
• Strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and related enterprise technologies.
• Experience partnering with clients and stakeholders to translate requirements into scalable product solutions.
• Experience with AI product use cases and applying AI to enhance product outcomes (preferred).

Responsibilities

• Lead product strategy for Medicaid claims domains and translate needs into domain roadmaps.
• Shape transformation of core adjudication capabilities and define platform opportunities.
• Develop understanding of Medicaid program operations, workflows, and regulatory context.
• Use discovery, research, and data to validate problems and prioritize opportunities.
• Partner with engineering, architecture, operations, and client-facing teams for execution.
• Create and evangelize product narratives for executives and stakeholders.
• Define success measures and evaluate adoption and impact.
• Identify new opportunities within Medicaid and adjacent domains.
• Coach and influence other product managers and cross-functional partners.

Skills

Product Systems Design

Customization Strategies

Integrating Software & Tech

Technology Architecture

Mainframe Environments

Data-Driven Decision Making

AI Product Use Cases

Job description

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Product Manager, Medicaid Claims Transformation

Date: Sep 11, 2026

Location: Any city, AZ, US, 99999

Work Mode: Default

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

Gainwell Technologies is seeking a Product Manager, Medicaid Claims Transformation, to lead Medicaid claims‑related product domains as part of the transformation of our core adjudication products. This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive‑level influence on shape platform strategy and turn complex payer and program needs into product direction.

The Product Manager, Medicaid Claims Transformationwill own domain strategy and outcomes across one or more claims‑adjacent domains, including member, provider, benefits, clinical, and finance. The role will partner across product, engineering, architecture, operations, client‑facing teams, and business stakeholders to modernize how Gainwell defines, builds, measures, and evolves core Medicaid capabilities.

Your role in our mission

• Lead product strategy for Medicaid claims‑related domains, translating member, provider, benefits, clinical, and finance needs into clear product outcomes and domain roadmaps.
• Shape the transformation of core adjudication capabilities by defining modern product direction, platform opportunities, and domain‑level investment priorities.
• Develop a deep understanding of Medicaid program operations, claims workflows, regulatory and policy context, client pain points, market dynamics, and ecosystem shifts.
• Use product discovery, customer research, workflow analysis, data, and experimentation to validate problems, prioritize opportunities, and reduce delivery risk before large‑scale build commitments.
• Partner with engineering, architecture, design, operations, implementation, sales, and client‑facing teams to align domain strategy with feasible, scalable product execution.
• Frame ambiguous domain and platform decisions, evaluate trade‑offs, and bring recommendations forward with clear rationale, product economics, and business impact.
• Create and evangelize product narratives that help executives, delivery teams, and stakeholders understand the transformation vision and the why behind priority decisions.
• Define success measures for domain outcomes and use qualitative and quantitative insights to evaluate adoption, operational impact, user experience, and product performance.
• Identify new product opportunities within Medicaid claims and adjacent domains, including opportunities enabled by platform modernization, workflow redesign, automation, data, and interoperability.
• Coach and influence other product managers and cross‑functional partners by modeling modern product practices and raising the quality of product decision‑making.

What we're looking for

• 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis, with a proven ability to drive product strategy, innovation, and business outcomes.
• Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions to meet complex business and operational requirements.
• Strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies, with the ability to align technical capabilities with business objectives.
• Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions, leveraging software development tools, methodologies, and best practices.
• Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments. Experience with AI Product use cases, solution design, and the application of artificial intelligence technologies to enhance business and product outcomes is preferred.

What you should expect in this role

• Fully remote opportunity with the option to work anywhere within the United States
• Opportunities to travel through your work (0-10%)
• Willingness to work a flexible schedule to accommodate business needs and travel as required
• 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 December30, 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.