Gainwell Technologies

Senior Manager Service Delivery

Gainwell Technologies • $108K — $154K *
Wrangell, AK 99929In-Person
Healthcare
11 - 15 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor's degree in business administration, healthcare, information systems, or related field.
  • 12+ years in healthcare technology, claims processing, or related delivery roles.
  • 8+ years of leadership or supervisory experience.
  • Experience with Medicaid or Medicare systems.
  • Proficient in healthcare claims processing, including edit configuration and pricing methodologies.

Responsibilities

  • Manage claims configuration, provider setup, and adjudication logic for multiple clients.
  • Develop demand forecasts and align resources with client priorities, identifying risks and recommending mitigation.
  • Interpret regulatory and benefit requirements into configuration solutions for claims processing.
  • Oversee budgets, monitor spending, and drive cost optimization without compromising delivery quality.
  • Lead complex relationships between delivery teams and client stakeholders to resolve issues.
  • Drive continuous service improvements for accuracy and turnaround times in claims processing.
  • Integrate new capabilities into frameworks and workflows in partnership with product engineering.

Benefits

  • Health benefits (medical, dental, vision) start on day 1.
  • Company match 401K and additional benefits available shortly after starting.
  • Flexible vacation policy effective after 90 days of employment.
  • Company-provided computer for work use.
  • Travel may be required occasionally.
Full Job Description
Summary

We are seeking a Senior Manager to lead service delivery and operational execution for healthcare claims configuration and processing teams. This role will drive delivery excellence, quality, and continuous improvement across configuration, adjudication, and support functions to improve accuracy, efficiency, and client outcomes.

Your role in our mission

  • Manages multiple clients and domain leads responsible for claims configuration, provider setup, and adjudication logic to ensure accurate and efficient delivery of business solutions. Drives standardization and implementation of process improvements across configuration lifecycle (design, build, test, deploy).
  • Develops and manages demand forecasts with account and product teams, aligning configuration and delivery capacity with client priorities. Identify risks in workload, capacity, and delivery timelines and recommend mitigation strategies.
  • Works with functional and technical teams to interpret regulatory, benefit, and pricing requirements into configuration solutions. Provides guidance on solution design, impacts to claims adjudication, and downstream processing.
  • Prepares, recommends, and oversees operating and personnel budgets for assigned teams. Monitors spend against plan, identifies variances, and drives cost optimization while maintaining delivery quality and SLA commitments.
  • Leads complex relationships between delivery teams, product engineering, and client stakeholders to ensure alignment on configuration changes, defect resolution, and release readiness. Resolves escalations and ensures timely issue resolution.
  • Drives continuous service improvements focused on accuracy of configuration, reduction of defects, and improved turnaround times. Ensure delivery outcomes meet client expectations for quality, compliance, and timeliness.
  • Partners with product engineering, QA, and operations teams to integrate new and enhanced capabilities into configuration frameworks and claims processing workflows.
  • Supports new business initiatives by contributing to solution design, estimation, and proposal development, particularly in areas involving claims configuration, pricing, and benefit setup.
  • Selects and hires employees with strong domain expertise in healthcare claims and configuration. Coaches and develop team members to enhance technical capability, domain knowledge, and leadership skills. Addresses performance issues and drives accountability for results.


What we're looking for

  • Bachelor's degree or higher in business administration, healthcare, information systems, or related field
  • Twelve (12) or more years of experience in healthcare technology, claims processing, configuration, or related delivery roles
    Eight (8) or more years of leadership or supervisory experience
  • Experience working in healthcare payer systems, including Medicaid or Medicare environments
  • Experience working with core administration platforms such as QNXT, Facets, or equivalent healthcare claims systems
  • Demonstrates strong expertise in healthcare claims processing, including edit configuration and pricing methodologies, with advanced analytical and problem-solving capabilities (root cause analysis, defect reduction), and excellent communication and relationship-building skills to effectively collaborate with clients, stakeholders, and cross-functional teams while translating complex concepts into business terms.


What you should expect in this role

  • This is a full-time permanent regular salaried (W-2) employee position.
  • Monday through Friday work schedule (40 hours per week).
  • Travel may be required on occasion.
  • Health (medical, dental, vision) benefits start on day 1 of employment.
  • Company match 401K and other benefits available within months of starting.
  • New employees are eligible to take advantage of flexible vacation policy after ninety (90) calendar days of employment. Any exception requires manager approval prior to employee's Gainwell start date.
  • Company provided computer for work use.
  • For all hybrid and remote positions employees' Broadband Internet connections, should have a minimum speed of 24MBS download and 8 MBS upload. Greater speeds will of course provide better performance.
  • Video cameras must be used during all interviews, as well as during the initial week of orientation if hired.
  • The use of AI during interviews is prohibited.
  • This position will accept applications until June 30, 2026.

#LI-NB1

#LI-REMOTE

The pay range for this position is $108,400.00 - $154,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

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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Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry
Information Technology
* Ladders Estimates

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