Gainwell Technologies

Experienced System Operations Manager

Gainwell Technologies$84K — $121K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Information Systems, Engineering, or related field (Master's or PMP preferred)
  • 10+ years in IT systems engineering, operations, or infrastructure leadership, preferably in healthcare
  • 5+ years of experience in technical and service delivery leadership roles
  • Deep expertise in ITIL4, ITSM, and technical project execution in regulated environments
  • Knowledge of HIPAA, SOC, and compliance frameworks

Responsibilities

  • Own end-to-end system availability and performance monitoring
  • Enforce escalation paths across IT service levels to ensure ownership
  • Lead root cause analysis and implement corrective actions for incidents
  • Guide infrastructure modernization initiatives for improved system performance
  • Supervise IT service management processes and improve service delivery
  • Act as primary systems liaison to client leaders and maintain relationships
  • Lead and coach technical staff, promoting a culture of accountability and learning

Benefits

  • Remote work opportunity within the United States
  • Generous flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
  • Access to leadership and technical development academies
Full Job Description
Summary

The Gainwell Systems Manager is a strategic, technical, and operational leader accountable for the performance, availability, modernization, and delivery of all systems supporting the Medicaid Management Information System (MMIS) and related enterprise services. This role drives IT service management (ITSM) maturity, ensures seamless operations, and enforces governance over system changes, incidents, and escalations.

As a core member of the account leadership team, the Systems Manager owns system health, enforces escalation and ownership protocols, and ensures all systems and services are optimized, secure, and aligned with contractual and business outcomes. This role is not a traditional Project Manager or HR People Manager, but is accountable for the systems team's technical delivery, excellence, and cross-functional coordination.

Your role in our mission

1) Operational Oversight & Systems Health

- Own end-to-end Gainwell system availability, performance monitoring, and operational continuity.
- Enforce defined escalation paths across L1-L5 tiers, ensuring no ownership gaps.
- Lead Root Cause Analysis (RCA) and implement permanent corrective actions for all major incidents (P1/P2).

-Maximize system updates, patches, and troubleshooting efforts.

-Responsible for defect tracking (PROD and non-PROD).
- Ensure system observability and lead rapid triage during outages or degradation events.
- Maintain operational compliance with HIPAA, state/federal policies, and internal audit controls.

2) Technical Architecture & Modernization

- Guide infrastructure modernization initiatives such as cloud-readiness, refactoring, virtualization, and platform reengineering.
- Collaborate with architects and engineering teams to align with SOA, DevOps, and enterprise integration best practices.

- Implement security best practices, including access controls, data protection, SOC audits, and help with disaster recovery planning and execution.

- Coordinate with teams to remediate Security Vulnerabilities across systems.

- Champion technical innovation and recommend solutions to increase scalability, security, and automation.

3) ITSM & Service Delivery

- Lead the design, implementation, and continuous improvement of ITSM processes, leveraging the ITIL4 framework.
- Supervise Incident, Problem, Change, and Service Request Management across all system tiers.

-Responsible for MIM reporting and communication.
- Own, define and monitor KPIs and SLAs for service quality, proactively driving improvements.
- Manage second-level support teams and coordinate with L1 providers for seamless escalation and response workflows.

-Promote support to Release team for successful releases to build on project deliverables and compliance to client timelines.

-Oversee annual DR exercise.

-Support annual SOC audit.

4) Driving Delivery Excellence

- Lead technical planning for system initiatives, migrations, upgrades, and risk mitigation efforts. change to reflect partnership with Arch...

-Understands Gainwell Technologies Policies and Procedures.

-Provide weekly defect reporting and change requests.

-Work closely with PMO for weekly/monthly reporting.
- Participate in project governance, CAB, and readiness assessments for production deployment approvals.
- Ensure successful alignment of technical execution with contractual obligations, security audits, and disaster recovery objectives.

5) Stakeholder & Client Engagement

- Act as the primary systems liaison to client leaders (e.g., CDL, DHS, AGM), participating in governance and planning meetings.
- Represent systems at weekly status meetings, steering committees, and delivery reviews.
- Partner with clients to anticipate future needs, align on solution roadmaps, and maintain strong business relationships.
- Provide clear communication and detailed impact reporting during outages, escalations, and planned changes.

6) Influencing Leadership & CSI Development

- Lead and coach technical and operations staff across multiple delivery areas.
- Set aligned objectives, drive performance feedback, and promote a culture of accountability and learning.
- Maintain an Ownership Map-ensuring every service/system has clearly defined primary and secondary owners.
- Encourage cross-training, succession planning, and bench strength development.

What were looking for

- Bachelor's degree in Computer Science, Information Systems, Engineering, or related field (Master's or PMP preferred).
- 10+ years in IT systems engineering, operations, or infrastructure leadership (Medicare MIS or healthcare platform experience preferred).
- 5+ years in technical and service delivery leadership roles.
- Deep expertise in ITIL4, ITSM, and technical project execution within complex, regulated environments.
- Knowledge of HIPAA, SOC, and enterprise compliance frameworks.

What you should expect in this role
  • United States remote opportunity
  • 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 July 24, 2026


The pay range for this position is $84,800.00 - $121,100.00 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.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

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