Claims Systems Delivery Manager (Remote in US)

Summary

As a ​Claims Systems Delivery Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position

Your role in our mission

Outstanding service delivery is one of Gainwell’s great strengths. Play a vital role in achieving that as we deliver better health and human services outcomes.

• Manage and oversee the WI Claims systems team to ensure Gainwell products and services are delivered according to project schedule
• Look ahead as you work with account teams to develop demand forecasts and assist functional areas or departments in proposing, planning and delivering end-to-end services, including workload requirements
• Navigate complex relationships between delivery and client groups to ensure stronger client relationships 
• Create more satisfied clients by identifying service improvements
• Support proposal teams to integrate new, enhanced and existing service offerings for current and new accounts
• Bolster our workforce by selecting and hiring employees to support your team; train them to enhance their performance, development and work products

What we're looking for

• Substantial leadership experience in Claims, systems development, project leadership or program management in a technology industry
• A deep understanding of Claims systems, Medicare, and Medicaid, including their technical architecture and data flows.
• Proven ability to analyze complex technical problems within claims systems, identify root causes, and evaluate potential solutions.
• Strong technical acumen with the ability to understand, question, and guide discussions on system design, product capabilities, and technical implementations with development and engineering teams.
• Familiarity with software development lifecycles (SDLC) and various methodologies (e.g., Agile, Scrum) to effectively oversee system development and enhancements.
• Working understanding of healthcare technology industry and products with an emphasis on the underlying technical components and integrations.
• Strong executive presence and excellent written and oral communication skills to build relationships and interact with clients and team members
• Skilled in managing projects, financial budgets, and resource forecasting 
• Ability to lead and motivate diverse teams to deliver high-quality results to clients, helping to quickly problem-solve roadblocks to ensure on-time delivery of projects and system uptime.
• Track record of tracking key metrics, implementing process improvements, and drive results.
• Customer centric while balancing the long and short-term implication of customer requests

What you should expect in this role

• Opportunities to travel through your work (0-10%)

• This is a full-time permanent regular salaried (W-2) employee position.
  • Monday through Friday work schedule (40 hours per week).
• Upward career advancement is possible and encouraged.
• Health (medical, dental, vision) benefits start on day 1 of employment.
• Company match 401K and other benefits available within months of starting.
• 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.
• This position will be posted until July 31, 2025.

#LI-NB1

#LI-REMOTE