Senior Manager Service Delivery

Gainwell Technologies LLC; Salem (OR); Remote; USD 108,000 - 155,000; Full time

Benefits offered by this job

Flexible vacation

Educational assistance

Leadership academies

Technical development

Job summary

The Senior Medicaid System Operations Manager at Gainwell Technologies LLC will oversee a 30+ person team responsible for the daily operation, stability, and continuous improvement of MMIS and related healthcare platforms. You will drive governance, production support, incident resolution, and vendor management to ensure compliant, secure, and efficient Medicaid services.

This role supports operational readiness across releases, develops metrics and executive reporting, and leads ITIL-based

Qualifications

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

Responsibilities

• Lead daily operations for MMIS and integrated Medicaid systems to meet SLAs.
• Manage incident, problem and change processes with ITIL guidance.
• Coordinate release planning and production deployments across environments.
• Oversee vendor performance and governance in alignment with contracts.
• Ensure CMS HIPAA compliance and audit readiness for Medicaid operations.

Skills

IT operations

Medicaid systems

MMIS

ITIL

PMP

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 Senior Medicaid System Operations Manager will manage a team of 30+ System Operations Managers responsible for overseeing the day-to-day operational support, stability, performance, and continuous improvement of the Medicaid Management Information System (MMIS) and related healthcare technology platforms. This role leads operational governance, production support, incident management, release coordination, vendor management, and service delivery activities to ensure Medicaid systems operate efficiently, securely, and in compliance with federal and state regulations.

Your role in our mission

Operational LeadershipManage 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.Establish and maintain operational procedures, standards, and governance processes.Coordinate operational readiness activities for new releases and system enhancements.Develop operational metrics, dashboards, and executive reporting.Incident, Problem & Change ManagementLead ITIL-based incident, problem, and change management processes.Coordinate resolution of high-severity production incidents and facilitate war-room activities.Conduct post-incident reviews and implement corrective/preventive actions.Ensure proper documentation of operational issues, problems, workarounds, and resolutions.Oversee change control processes and production deployment coordination.Medicaid System ManagementSupport core Medicaid modules including:Claims ProcessingProvider ManagementMember EligibilityPrior AuthorizationCare ManagementFinancial ManagementPharmacy SystemsData Warehouse and ReportingEnsure compliance with CMS regulations, HIPAA requirements, and Medicaid operational standards.Vendor & Stakeholder ManagementMonitor vendor performance against contractual SLAs and KPIs.Collaborate with Account business operations, PMO, infrastructure, security, and application development teams.Release & Environment ManagementCoordinate release planning and production deployments.Production Gatekeeper. Ensures operational acceptance criteria are met prior to implementation.Compliance & Audit SupportSupport CMS certification activities and operational readiness reviews.Ensure compliance with:HIPAACMS Medicaid Enterprise StandardsState security policiesData retention and audit requirementsCoordinate operational support for audits and regulatory reviews.Continuous ImprovementIdentify opportunities to improve operational efficiency and system stability.Drive automation initiatives for monitoring, alerting, batch operations, and reporting.Implement operational best practices and process improvements.Drive Root Cause Analysis (RCA) & permanent correction.

What we're looking for

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.

Preferred Certifications

ITIL Foundation or ITIL v4 CertificationPMP Certification

What you should expect in this role

United States remote

opportunityVideo 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 October 14, 2026.

The pay range for this position is $108,400.00 - $154,800.00 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 , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

About Gainwell

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 and visit our for all available job role openings.

Equal Opportunity Statement

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.