Senior Application Architect (Medicaid Technology)

Gainwell Technologies; Texas; Remote; USD 95,000 - 136,000; Full time

Job summary

Gainwell Technologies is seeking an Application Architect to define and execute the architecture strategy for a Medicaid account, guiding modernization across applications, data, cloud, and security. You will partner with state agencies and stakeholders to ensure regulatory alignment and operational excellence.

The role emphasizes governance, risk management, and scalable, secure designs. Remote work is available nationwide in the U.S., with opportunities for leadership and professional

Qualifications

• 9+ years of enterprise/solution/technology architecture leadership for large programs or roadmaps.
• 7+ years of Medicaid, MMIS, healthcare payer, or government healthcare experience with state agencies or clients.
• Strong expertise across application, data, integration, cloud, infrastructure, and security architectures with legacy modernization experience.
• Experience establishing architecture governance using methodologies and tools like LeanIX, TOGAF, or equivalents.
• Deep understanding of SDLC, DevSecOps, CI/CD, security, privacy, compliance, risk management, and lifecycle governance.

Responsibilities

• Define and drive the technology architecture strategy, roadmap, and modernization initiatives for a large-scale Medicaid account, aligning investments with business objectives.
• Lead architecture governance, establish standards and best practices, and oversee application, integration, cloud, infrastructure, and security architectures.
• Serve as the senior technical advisor to state Medicaid agencies, partnering with stakeholders to support planning, governance, audits, and modernization efforts.
• Guide application modernization, cloud adoption, API and integration strategies, ensuring scalable, secure, and resilient solutions aligned with enterprise standards.
• Ensure compliance with Medicaid, HIPAA, CMS, NIST, IRS 1075, and other regulatory requirements while promoting secure-by-design practices.
• Drive interoperability and data-exchange strategies, supporting APIs, integrations, ETL, and healthcare interoperability frameworks.
• Lead risk management, technical debt, and lifecycle governance across the software development lifecycle for mission-critical Medicaid systems.

Skills

Enterprise architecture leadership

Healthcare/Medicaid experience

Cloud/data/security architecture

Governance frameworks

SDLC / DevSecOps / CI/CD

Tools

LeanIX

TOGAF

Job description

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

The Application Architect serves as the senior technology leader responsible for defining and executing the architecture strategy, roadmap, and modernization vision for a Medicaid account, ensuring alignment with business goals, regulatory requirements, and operational excellence.
This role provides enterprise-wide architecture leadership across applications, cloud, data, integration, security, and emerging technologies while serving as a trusted advisor to state Medicaid agencies and internal stakeholders.

Your role in our mission

• Define and drive the technology architecture strategy, roadmap, and modernization initiatives for a large-scale Medicaid account, aligning technology investments with business and contractual objectives.
• Lead architecture governance, establish standards and best practices, and provide oversight for application, integration, cloud, infrastructure, and security architectures.
• Serve as the senior technical advisor to state Medicaid agencies, partnering with business and technical stakeholders to support strategic planning, governance, audits, and modernization efforts.
• Guide application modernization, cloud adoption, API and integration strategies, ensuring solutions are scalable, secure, resilient, and aligned with enterprise architecture standards.
• Ensure compliance with Medicaid, HIPAA, CMS, NIST, IRS 1075, and other regulatory and contractual requirements while promoting secure-by-design architecture practices.
• Drive interoperability and data exchange strategies, supporting APIs, integrations, ETL processes, and industry-standard healthcare interoperability frameworks.
• Lead technical risk, technical debt, and solution oversight activities across the software development lifecycle, providing architectural guidance for complex programs and mission-critical Medicaid systems.
  

What We're Looking For

• 9+ years of experience in enterprise, solution, or technology architecture, including leadership of large-scale architecture initiatives and strategic technology roadmaps.
• 7+ years of Medicaid, MMIS, MES, healthcare payer, or government healthcare experience, supporting complex, mission-critical systems and working directly with state agencies or government clients.
• Strong expertise in application, integration, data, cloud, infrastructure, and security architecture, with experience modernizing legacy systems and enterprise platforms.
• Experience establishing architecture governance frameworks, leveraging enterprise architecture methodologies and tools such as LeanIX, TOGAF, or equivalent platforms.
• Deep understanding of modern software engineering practices, including SDLC, DevSecOps, CI/CD, security, privacy, compliance, risk management, and technology lifecycle governance.
  

Preferred Qualifications

• Experience with CMS Medicaid Enterprise Architecture (MEA), MITA, modular MMIS/MES implementations, and CMS certification requirements.
• Hands-on experience with cloud platforms (AWS, Azure), enterprise databases (Oracle, SQL Server, PostgreSQL), and large-scale healthcare technology environments.
• Experience designing and supporting APIs, REST services, event-driven integrations, data lakes, data warehouses, analytics/AI platforms, and identity & access management solutions.
  

What You Should Expect In This Role

• Fully Remote Opportunity – Work from anywhere in the U.S.
• Minimal Travel Required – Occasional travel opportunities (0-10%).
• 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 November 20, 2026.
  

The pay range for this position is $95,100.00 - $135,800.00 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.