Vice President, Provider Solutions DDI Delivery

Gainwell Technologies; Texas; Remote; USD 200,000 - 250,000; 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 Vice President, Provider Solutions DDI Delivery to own end-to-end delivery across multiple Medicaid Provider system implementations. You will translate approved solutions into executable plans and manage governance, budget, staffing, and client relations.

This 100% remote leadership role requires extensive experience delivering complex programs in regulated environments and coordinating cross-functional teams to meet aggressive milestones and client needs.

Qualifications

• Bachelor's degree or equivalent; advanced degree preferred.
• Fifteen+ years in technology delivery and leadership.
• Ten+ years Medicaid/provider implementations experience.

Responsibilities

• Own scope, schedule, cost, quality, and go-live across Provider DDIs.
• Maintain integrated portfolio view and executive reporting.
• Lead governance with clear decision rights and escalation paths.
• Align cross-functional teams to approved commitments.
• Drive delivery optimization and continuous improvement.

Skills

Executive leadership

Delivery leadership

Program management

Budget & forecast

Regulatory experience

Education

Bachelor's degree in related field

Advanced degree preferred

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

The Vice President, Provider Solutions DDI Delivery is the single accountable executive for delivery outcomes across assigned Provider DDIs and owns end-to-end performance across multiple concurrent Medicaid Provider system implementations. This executive converts approved solutions, architecture, cost models, contracts, and staffing assumptions into executable delivery plans and establishes the governance, financial controls, talent, and cross-functional accountability required to deliver commitments with quality and predictability. The role drives resolution, manages and coordinates escalations, and provides concise executive visibility focused on decisions, owners, deadlines, recovery actions, and measurable outcomes. This leader directly manages a team of project-dedicated senior leaders that manage individual implementations.

Your role in our mission

• Own scope, schedule, cost, quality, contractual commitments, go-live, stabilization, and transition to operations across assigned Provider DDIs.


• Maintain an integrated portfolio view of milestones, dependencies, staffing, risks, decisions, financial performance, and recovery actions; provide reporting that drives executive decisions and resolution.


• Maintain high-quality relationships with client executives and implementation teams, effectively managing the relationship to ensure client needs are met and overall client satisfaction.


• Lead integrated governance across Provider DDIs with clear decision rights, participants, outputs, and escalation paths while preserving implementation-level delivery cadences.


• Enforce stage gates and approved baselines across solution strategy, architecture, scope, cost, staffing, schedule, product gaps, dependencies, and operational readiness before commitments advance.


• Effectively drive transformation of solution delivery practices in accordance with organizational strategies and ensure compliance across projects and project teams.


• Align Product, Engineering, Architecture, Solutioning, Implementation, Customer Experience, Systems, Security, Data and Analytics, Finance, Account leadership, and delivery partners to approved commitments, owners, and dates.


• Pressure-test delivery assumptions, surface constraints early, and require executable recovery plans with accountable owners, deadlines, dependencies, and measurable exit criteria.


• Own delivery economics, including budget, forecast, estimate at completion, labor and non-labor costs, change control, revenue timing, margin, productivity, and resource utilization.


• Keep delivery plans, staffing, forecasts, cost models, pricing assumptions, and contractual commitments aligned to an executable baseline, with impacts and tradeoffs visible before decisions are made.


• Drive DDI optimization through standardization, reusable assets, earlier value creation, environment readiness, automation, AI-enabled delivery, and continuous improvement without weakening quality or governance.


• Build a scalable Provider delivery organization with clear roles, RACIs, capacity and succession plans, performance expectations, and closed-loop adoption of lessons learned.

What We're Looking For

• Bachelor's degree in business, information technology, healthcare administration, engineering, or a related field, or equivalent experience; advanced degree preferred.


• Fifteen or more years of progressively responsible technology delivery, implementation, operations, or professional-services experience, including ten or more years leading large, matrixed organizations and five or more years at the senior director, vice president, or equivalent level.


• Ten or more years delivering Medicaid, public-sector healthcare, or similarly regulated programs, including leading Medicaid Provider implementations.


• Executive accountability for at least two large-scale, multi-workstream implementations from mobilization through go-live, stabilization, and transition to operations.


• Experience leading multiple concurrent Medicaid Provider implementations or a portfolio with shared product, architecture, engineering, staffing, financial, and client dependencies.


• Demonstrated ownership of integrated delivery planning, stage-gate governance, delivery assurance, risk management, and recovery planning.


• Demonstrated accountability for delivery budgets, forecasts, estimates at completion, labor and non-labor costs, change control, revenue timing, margin, and contractual commitments.


• Proven ability to align senior cross-functional and client leaders to defined decisions, owners, and target dates.


• Quantified improvement in at least two delivery outcomes, such as cost, cycle time, milestone predictability, quality, defect reduction, client readiness, or productivity.


• Proven success managing client relationships at all levels in high-stakes environments.


• Ability to operate at the high and detailed levels of solution delivery (program level and project level), adjusting work style for what’s needed to ensure project and team success.

What You Should Expect In This Role

• Executive accountability for multiple concurrent Provider DDIs, with direct visibility to client executives and Provider Solutions leadership.


• Operate in a highly matrixed environment requiring decisive leadership across business, product, technology, implementation, client, and supporting functions.


• Act as a servant leader for the project leaders and teams, rolling up your sleeves when necessary and helping the team solve complex problems related to solution and project delivery, and client engagement.


• A 100% remote role with travel based on client, program, and leadership needs, anticipated up to 15% annually.

The deadline to submit applications for this posting is October 16, 2026.

The pay range for this position is $200,000.00 - $250,000.00 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.