Senior Manager Service Delivery

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

We are seeking a Senior Manager to lead service delivery and operational execution for Medicaid Claims, Business Policy Administration, and Reference Data Maintenance teams. This role will drive delivery excellence, quality, and continuous improvement across claims processing, business policy administration, reference data maintenance, adjudication, and support functions to improve accuracy, efficiency, and client outcomes.

Your role in our mission

- Manages multiple clients and domain leads responsible for Medicaid claims, business policy administration, reference data maintenance, provider setup, and adjudication logic to ensure accurate and efficient delivery of business solutions.

- Drives standardization and implementation of process improvements across the delivery lifecycle, including design, build, test, deploy, and operational support.

- Develops and manages demand forecasts with account and product teams, aligning Medicaid Claims, Business Policy Administration, and Reference Data Maintenance capacity with client priorities.

- Identifies risks in workload, capacity, and delivery timelines and recommends mitigation strategies.

- Leads complex relationships between delivery teams, product engineering, and client stakeholders to ensure alignment on Medicaid claims, business policy administration, reference data changes, defect resolution, and release readiness.

- Resolves escalations and ensures timely issue resolution.

- Drives continuous service improvements focused on claims accuracy, policy administration quality, reference data integrity, reduction of defects, and improved turnaround times.

- Ensures delivery outcomes meet client expectations for quality, compliance, and timeliness.

- Selects and hires employees with strong domain expertise in Medicaid claims, business policy administration, and reference data maintenance.

- Coaches and develops team members to enhance technical capability, domain knowledge, and leadership skills.

- Addresses performance issues and drives accountability for results.

What we're looking for

- Twelve or more years of experience in healthcare technology, Medicaid claims, business policy administration, reference data maintenance, or related delivery roles

- Eight or more years of leadership or supervisory experience

- Experience working in healthcare payer systems, including Medicaid or Medicare environments

- Experience working with MMIS systems or equivalent healthcare claims systems

- Strong stakeholder and client relationship management skills.

What you should expect in this role

- Fully Remote Opportunity – Work from anywhere in the U.S.

- Minimal Travel Required – Occasional travel opportunities (0-10%).

- Video cameras must be used during all interviews, as well as during the initial week of orientation

- The deadline to submit applications for this posting is October 30, 2026

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The pay range for this position is $115,900.00 - $165,600.00 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.