VP, Provider Solutions Architecture & Transformation Remote

Gainwell Technologies; Texas; Remote; USD 200,000 - 250,000; Full time

Benefits offered by this job

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership development academies

Job summary

Gainwell Technologies seeks a VP to own Provider Solutions Business Architecture, setting standards for enrollment, credentialing, and data management across DDIs. This executive will lead a 50+ team, align product, engineering, and client needs, and drive standardization and automation in a remote, travel‑optional role.

The position requires extensive leadership experience in Medicaid or regulated healthcare programs, strong governance capabilities, and a proven track record of delivering

Responsibilities

• Own end-to-end baseline Provider business architecture across enrollment, screening, credentialing, provider data management, portals, interfaces, correspondence, and related capabilities.
• Establish reusable process models, capability maps, roles, information flows, business rules, and reference designs that support consistent Provider solutions across clients.
• Lead application design and configuration standards, ensuring requirements, product capabilities, gaps, extensions, and configuration decisions are traceable and executable.
• Govern design decisions and exceptions through clear stage gates, decision rights, owners, deadlines, and escalation paths; prevent unnecessary customization and protect solution integrity.
• Ensure business requirements include clear how-met responses, acceptance and testing criteria, dependencies, and alignment to approved architecture and contractual commitments.
• Partner with Solutioning, Product, Engineering, and Implementation to translate proposals, contracts, and statements of work into governed designs before delivery commitments advance.
• Provide business-architecture leadership across Provider DDIs, including configuration readiness, product-gap resolution, client decisions, and transition of approved designs into implementation.
• Act as hands‑on and servant leader to help teams solve complex client solution challenges to ensure DDI success.
• Monitor federal and state regulatory changes and ensure Provider processes, business rules, and application designs remain aligned with applicable requirements.
• Coordinate with executives across engineering, product management, solutioning, and implementation disciplines to drive prompt resolution of problems with cross‑functional team.
• Drive DDI transformation through standardization, reusable assets, automation, AI‑enabled design and configuration, and closed‑loop adoption of implementation lessons.
• Measure and improve design reuse, configuration efficiency, quality, cycle time, and cost; make investment needs, tradeoffs, and decisions visible to Provider Solutions leadership.

Job description

Gainwell Technologies seeks a VP to own Provider Solutions Business Architecture, setting standards for enrollment, credentialing, and data management across DDIs. This executive will lead a 50+ team, align product, engineering, and client needs, and drive standardization and automation in a remote, travel‑optional role.

The position requires extensive leadership experience in Medicaid or regulated healthcare programs, strong governance capabilities, and a proven track record of delivering