Remote Senior Service Delivery Lead, Medicaid & Policy Ops

Gainwell Technologies; Washington; Remote; USD 116,000 - 166,000; Full time

Benefits offered by this job

Generous vacation policy

Educational assistance

401(k) employer match

Comprehensive health benefits

Leadership and technical development

Job summary

Gainwell Technologies is seeking a Senior Manager to lead service delivery and operational execution for Medicaid Claims, Business Policy Administration, and Reference Data Maintenance teams. This role drives delivery excellence, quality, and continuous improvement across claims processing and related functions to improve accuracy, efficiency, and client outcomes.

Fully Remote – work from anywhere in the U.S. with minimal travel.

Qualifications

• 12+ years in healthcare technology or Medicaid delivery roles.
• 8+ years of leadership or supervisory experience.
• Experience with Medicaid/Medicare payer systems and MMIS environments.

Responsibilities

• Manages multiple clients and domain leads responsible for Medicaid claims, business policy administration, reference data maintenance, provider setup, and adjudication logic.
• Drives standardization and process improvements across the delivery lifecycle from design to support.
• Develops demand forecasts with account and product teams to align capacity with client priorities.
• Identifies risks in workload, capacity and timelines and recommends mitigations.
• Leads relationships between delivery teams, product engineering, and client stakeholders for alignment and release readiness.
• Resolves escalations and ensures timely issue resolution.
• Drives continuous service improvements focused on claims accuracy and data integrity.

Skills

Healthcare experience

Leadership

Stakeholder management

Tools

MMIS systems

Job description

Gainwell Technologies is seeking a Senior Manager to lead service delivery and operational execution for Medicaid Claims, Business Policy Administration, and Reference Data Maintenance teams. This role drives delivery excellence, quality, and continuous improvement across claims processing and related functions to improve accuracy, efficiency, and client outcomes.

Fully Remote – work from anywhere in the U.S. with minimal travel.