Senior Principal Product, Medicaid Claims Transformation

Summary

Gainwell Technologies is seeking a Senior Principal Product, 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 Senior Principal Product, 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

• Define portfolio-level product direction for Medicaid claims-related domains, connecting member, provider, benefits, clinical, and finance capabilities into a coherent transformation roadmap.
• Shape enterprise product strategy for core adjudication modernization, including platform direction, domain boundaries, operating model implications, and investment priorities.
• Lead cross-division alignment around product portfolio decisions, strategic tradeoffs, sequencing, and measurable transformation outcomes.
• Assess the current product portfolio, workflows, domain dependencies, technical constraints, client needs, market forces, and Medicaid policy realities to identify the highest-value transformation opportunities.
• Use portfolio frameworks, organizational assessments, product economics, data, and market insight to evaluate opportunities and guide executive decisions.
• Partner with product, engineering, architecture, operations, delivery, client-facing, growth, and executive stakeholders to align strategy with scalable execution.
• Set product standards and operating rhythms that strengthen discovery, prioritization, road mapping, measurement, and decision quality across multiple product teams.
• Influence enterprise transformation choices involving legacy capabilities, platform modernization, interoperability, data, automation, workflow redesign, and domain ownership.
• Build clear narratives for executives and senior stakeholders, including portfolio direction, transformation rationale, investment tradeoffs, and progress against outcomes.
• Provide thought leadership and coaching to product leaders and cross-functional partners, raising product maturity across the organization.

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.

• Healthcare industry experience required, including Medicaid or Medicare programs, with a strong understanding of payer operations, claims processing, regulatory requirements, and healthcare technology solutions.

• Deep expertise in Product Systems Design, Customization Strategies, and Integrating Software and Technology Solutions, with a strong understanding of Technology Architecture, Mainframe Environments, Scheduling Software, and Related Enterprise Technologies.

• Experience partnering with clients and stakeholders to translate business, technical, and data requirements into scalable product solutions, leveraging software development tools, methodologies, and best practices.

• Demonstrated strengths in Product Development Methodologies, Strategic Planning, Analytical Problem Solving, Decision Making, and Prioritizing Initiatives in Complex Environments. Experience with AI product use cases, solution design, and the application of artificia