Medicaid Product & Solution Strategist

Accountabilities

As Medicaid Product & Solution Strategist, you will lead strategic modernization initiatives, guide solution development, and connect client needs with product capabilities and delivery priorities. Your responsibilities will include:

- Develop and lead Medicaid modernization strategies by assessing existing technology environments and translating business and technical needs into target-state solutions and phased roadmaps.

- Support Medicaid pursuits, RFP responses, renewals, recompetes, and expansion opportunities through integrated solution strategies, recommendations, and business cases.

- Collaborate with Product, Architecture, Engineering, Delivery, Finance, and Growth teams to align capabilities, integrations, dependencies, investment requirements, and implementation approaches.

- Design cohesive Medicaid Enterprise Systems (MES) and enterprise solutions that balance reusable, configurable capabilities with state-specific requirements.

- Develop modernization roadmaps and business cases that evaluate costs, risks, implementation feasibility, time-to-value, and measurable client and financial outcomes.

- Guide modernization strategies from early client discussions and pre-RFP opportunity development through Design, Development, and Implementation (DDI) execution.

- Ensure modernization initiatives remain aligned with the broader product vision and long-term strategic objectives.

- Facilitate strategic discussions with state Medicaid leaders and internal executives, translating complex technical concepts into clear business recommendations and trade-offs.

- Lead cross-functional solution design initiatives and coordinate contributions from teams without direct reporting authority.

- Develop executive presentations, modernization playbooks, decision frameworks, and reusable best practices to support consistent solution development.

Requirements :

The ideal candidate combines extensive Medicaid and healthcare technology experience with strategic thinking, solution architecture expertise, and the ability to influence senior stakeholders across complex organizations. The following qualifications are required:

- 12+ years of experience in Medicaid or Medicaid Management Information Systems (MMIS), healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization.

- Demonstrated experience leading complex, cross-functional technology initiatives.

- Deep understanding of Medicaid enterprise systems and business capabilities, including claims and encounters, Electronic Data Interchange (EDI), integrations, data and analytics, and systems integration.

- Proven experience developing enterprise modernization strategies and solution architectures.

- Ability to assess current-state environments, define target-state architectures, design modular solutions, and develop transition roadmaps.

- Strong understanding of integration dependencies and phased implementation approaches.

- Significant experience supporting complex business pursuits, RFPs, and client solutioning activities.

- Ability to translate business and technical requirements into integrated solutions, executive recommendations, modernization roadmaps, and business cases.

- Excellent executive communication and presentation skills, with the ability to explain complex concepts and strategic trade-offs clearly.

- Proven ability to influence senior client and internal stakeholders and lead cross-functional initiatives involving Product, Architecture, Engineering, Delivery, Growth, and Finance teams.

- Strong strategic thinking, stakeholder management, and collaboration skills, particularly in environments where leadership does not rely on direct reporting authority.

Benefits :

- Annual base salary ranging from $108,500 to $155,000, depending on geographic location, internal equity, relevant knowledge, skills, and experience.

- Fully remote opportunity, with the flexibility to work from anywhere in the United States.

- Minimal travel requirements, estimated at 0–10%.

- Generous and flexible vacation policy for eligible full-time salaried employees.

- 401(k) retirement plan with employer matching contributions.

- Comprehensive health benefits.

- Educational assistance.

- Access to leadership and technical development academies.

- Opportunities to strengthen professional credentials and pursue relevant certifications.

- Career development opportunities within a collaborative, innovative, and inclusive environment.

- Opportunity to contribute to technology initiatives that improve healthcare access and services for vulnerable communities.

How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
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