Remote Senior Medicaid System Operations Lead

Gainwell Technologies; Northern (KY); Hybrid; USD 108,000 - 155,000; Full time

Benefits offered by this job

401(k) employer match

Comprehensive health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies is seeking a Senior Medicaid Systems Operations Manager to lead a 30+ person team responsible for MMIS and related health IT platforms. The role governs incident management, releases, vendor relations, and service delivery to maintain compliant, secure Medicaid operations.

You will drive operational governance, performance dashboards, and readiness for new releases, ensuring adherence to federal and state rules while leading continuous improvement and automation initiatives.

Qualifications

• 7–10+ years of IT operations or Medicaid systems experience.
• 5+ years managing large-scale healthcare or Medicaid system operations.
• Experience supporting MMIS, Medicaid Enterprise Systems (MES), or healthcare payer platforms.
• Experience with production support and IT service management processes.

Responsibilities

• Manage daily operations for Gainwell’s MMIS and integrated Medicaid systems.
• Ensure system availability, reliability, scalability, and performance meet SLAs and operational targets.
• Lead production support activities including monitoring, triage, issue resolution, and root cause analysis.
• Coordinate release planning and production deployments.
• Oversee ITIL-based incident, problem, and change management processes.
• Ensure CMS HIPAA compliance and audits.

Skills

IT operations

Medicaid systems

MMIS

IT service management

Job description

Gainwell Technologies is seeking a Senior Medicaid Systems Operations Manager to lead a 30+ person team responsible for MMIS and related health IT platforms. The role governs incident management, releases, vendor relations, and service delivery to maintain compliant, secure Medicaid operations.

You will drive operational governance, performance dashboards, and readiness for new releases, ensuring adherence to federal and state rules while leading continuous improvement and automation initiatives.