Modifications Manager

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Gainwell Technologies is seeking a Modifications Manager to lead the planning, governance, and delivery of the Wisconsin Medicaid modifications portfolio. In this leadership role, you will oversee a complex portfolio of system enhancements and modernization initiatives, ensuring projects are prioritized, staffed, governed, and delivered in alignment with client expectations, contractual commitments, and organizational objectives.

As a member of the Wisconsin leadership team, you will serve as a key liaison between Wisconsin DHS, account leadership, project management teams, and business stakeholders. You will provide strategic direction, portfolio oversight, financial stewardship, resource planning, and executive-level communication to drive successful outcomes across the modification portfolio.

• Lead the Wisconsin modifications portfolio from intake through implementation, ensuring successful delivery of initiatives across scope, schedule, budget, and quality expectations.
• Establish and continuously improve portfolio governance processes, prioritization frameworks, intake workflows, performance metrics, and reporting standards.
• Partner with Wisconsin DHS and Gainwell leadership to define priorities, delivery commitments, and portfolio roadmaps.
• Monitor portfolio health, risks, dependencies, resource capacity, and delivery performance while driving issue resolution and escalation management.
• Review and validate project estimates, staffing plans, schedules, and delivery commitments across multiple concurrent initiatives.
• Oversee modification-related budgeting, forecasting, invoicing, and financial performance to ensure responsible stewardship of funding.
• Manage cross-project and cross-vendor dependencies and ensure impacts to scope, schedule, budget, and implementation commitments are identified and addressed.
• Deliver executive-level reporting and recommendations to client and organizational leadership.
• Lead and mentor team members responsible for governance, reporting, forecasting, and financial administration.

• Bachelor's degree in Business, Information Technology, Healthcare Administration, Project Management, or a related field. Master's degree preferred.
• 10+ years of experience in program, portfolio, project, or delivery management within a complex technology environment.
• 5+ years of leadership experience overseeing cross-functional teams and large-scale initiatives.
• Experience managing multiple concurrent projects, budgets, and stakeholder groups.
• Experience presenting to and partnering with executive-level clients and leadership teams.
• Strong knowledge of portfolio management, governance, resource planning, forecasting, financial oversight, and risk management.
• Experience with software development and systems delivery life cycles.
• Ability to influence and collaborate across business, operational, and technical organizations.
• Preferred experience supporting Medicaid, MMIS, healthcare payer, government technology, or other regulated public-sector programs.

• Opportunity to work remote
• Travel up to 10%

Applications for this position will be accepted until 11/9/2026.

The pay range for this position is $92,800.00 - $ per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among…