Provider Data Management

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 Provider+ Provider Data Management Product Owner is responsible for guiding the development, delivery, and evolution of Provider+ Provider Data Management capabilities with a strong focus on quality, updated data supporting enrollment, re-enrollment, revalidation, screening, FWA prevention, and accurate provider directories. This role supports both active production clients, clients in implementation, and opportunity pursuits ensuring that functionality meets regulatory requirements, operational realities, and contractual commitments while advancing the future-state vision of the platform.

Acting as the primary bridge between clients, operations, policy, and engineering teams, the Product Owner owns the end-to-end Provider+ Provider Data Management module product backlog and ensures accurate, compliant, and scalable system. The role emphasizes practical execution in live client environments while also shaping the longer-term modernization and evolution of the Provider+ platform.

Your role in our mission

Essential Job Functions

Product Strategy & Management

• Own the product vision, roadmap, and backlog for Provider+ Provider Data Management module.
• Translate complex business and regulatory requirements into actionable user stories and features with clear acceptance criteria.
• Own and manage the product backlog, ensuring it reflects business value, stakeholder input, and technical feasibility.
• Continuously groom the backlog based on changing needs, emerging priorities, and iterative feedback.
• Develop and maintain Product Roadmaps aligned with other related and critical Product areas - working closely with Product Managers and other Product Owners.
• Focusing and leading the future strategy and needs of the solution area this individual would be responsible for.

Cross-Functional Collaboration

• Act as a liaison between internal/external development teams and Gainwell/client stakeholders to ensure shared understanding of priorities and goals.
• Participate in Agile practices such as sprint planning, backlog refinement, reviews, and retrospectives to guide delivery and maximize team output.
• Provide day-to-day directions to development/testing teams, answer questions, and clarify user stories as needed to unblock progress as well as participating in solutioning/designing of application alongside of technical leads.
• Understand and be able test within the product(s) which includes executing processes, reviewing testing results, and approving development/testing work for final release.
• Ensure the final product meets quality expectations, user needs, and compliance requirements specific to Medicaid programs.
• Collaborating on sales activities and meeting client needs.

Provider Data Management Subject Matter Expertise

• Ensure accurate implementation of Medicaid policy, CMS guidance, and state?specific rules for Provider Data Management.
• Support defect triage and prioritization related to provider management issues impacting active clients.
• Support and evolve provider data management integration between systems.
• Partner with Provider+ engineering, operations, and technical teams to ensure alignment across modules and downstream systems.
• Incorporate policy changes and operational needs into backlog prioritization and platform enhancements.
• Participate in client discussions, demos, and working sessions to explain functionality, roadmap direction, and platform capabilities.
• Collaborate with implementation teams to reduce customization, improve configurability, and accelerate onboarding of new clients.

What we're looking for

• 5+ years of experience as a Product Owner, Business Analyst, or Product Manager, preferably in the Medicaid or broader public health sector
• Provider data management knowledge
• Solid understanding of Medicaid programs, policies, and business processes such as provider management, claims, encounters, and prior authorization.
• Strong experience working within Agile/Scrum environments
• Proficient in backlog management, requirements gathering, and stakeholder communication
• Excellent organizational, presentation, analytical, and interpersonal skills

What you should expect in this role

• Fully remote opportunity with the option to work anywhere within the United States
• Opportunities to travel through your work (0-10%)
• Willingness to work a flexible schedule to accommodate business needs and travel as required
• Video cameras must be used during all…