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Product Manager, Medicaid Claims Transformation

Job in Northern, Floyd County, Kentucky, USA
Listing for: Gainwell Technologies
Full Time position
Listed on 2026-09-16
Job specializations:
  • Business
    Business Analyst, AI Business & Operations, Change Management
Salary/Wage Range or Industry Benchmark: 108500 - 155000 USD Yearly USD 108500.00 155000.00 YEAR
Job Description & How to Apply Below

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Product Manager, Medicaid Claims Transformation

Date:
Sep 11, 2026

Location:

Any city, AZ, US, 99999

Work Mode:
Default

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

Gainwell Technologies is seeking a Product Manager, Medicaid Claims Transformation
, to lead Medicaid claims‑related product domains as part of the transformation of our core adjudication products. This role is for a product leader who can combine deep Medicaid domain expertise, modern product management practices, and executive‑level influence on shape platform strategy and turn complex payer and program needs into product direction.

The Product Manager, Medicaid Claims Transformation
will own domain strategy and outcomes across one or more claims‑adjacent domains, including member, provider, benefits, clinical, and finance. The role will partner across product, engineering, architecture, operations, client‑facing teams, and business stakeholders to modernize how Gainwell defines, builds, measures, and evolves core Medicaid capabilities.

Your role in our mission
  • Lead product strategy for Medicaid claims‑related domains, translating member, provider, benefits, clinical, and finance needs into clear product outcomes and domain roadmaps.
  • Shape the transformation of core adjudication capabilities by defining modern product direction, platform opportunities, and domain‑level investment priorities.
  • Develop a deep understanding of Medicaid program operations, claims workflows, regulatory and policy context, client pain points, market dynamics, and ecosystem shifts.
  • Use product discovery, customer research, workflow analysis, data, and experimentation to validate problems, prioritize opportunities, and reduce delivery risk before large‑scale build commitments.
  • Partner with engineering, architecture, design, operations, implementation, sales, and client‑facing teams to align domain strategy with feasible, scalable product execution.
  • Frame ambiguous domain and platform decisions, evaluate trade‑offs, and bring recommendations forward with clear rationale, product economics, and business impact.
  • Create and evangelize product narratives that help executives, delivery teams, and stakeholders understand the transformation vision and the why behind priority decisions.
  • Define success measures for domain outcomes and use qualitative and quantitative insights to evaluate adoption, operational impact, user experience, and product performance.
  • Identify new product opportunities within Medicaid claims and adjacent domains, including opportunities enabled by platform modernization, workflow redesign, automation, data, and interoperability.
  • Coach and influence other product managers and cross‑functional partners by modeling modern product practices and raising the quality of product decision‑making.
What we're looking for
  • 12+ years of experience in Product Management, Software Development, Consulting, Technical Support, Business Analysis, and Data Analysis, with a proven ability to drive product strategy, innovation, and business outcomes.
  • Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions to…
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