Provider Enrollment and Screening
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AI Summary
Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary
The Provider+ Data Enrollment and Screening Product Owner is responsible for guiding the development, delivery, and evolution of Provider+ Enrollment and Screening capabilities with a strong focus on quality, updated data supporting enrollment, re-enrollment, revalidation, screening, FWA prevention, and accurate provider directories. This role supports both active production clients, clients in implementation, and opportunity pursuits ensuring that functionality meets regulatory requirements, operational realities, and contractual commitments while advancing the future-state vision of the platform.
Acting as the primary bridge between clients, operations, policy, and engineering teams, the Product Owner owns the end-to-end Provider+ Provider Enrollment and Screening module product backlogs and ensures accurate, compliant, and scalable systems. The role emphasizes practical execution in live client environments while also shaping the longer-term modernization and evolution of the Provider+ platform.
Your role in our mission
Essential Job Functions
- Own the product vision, roadmap, and backlog for Provider+ Enrollment and Screening modules.
- Translate complex business and regulatory requirements into actionable user stories and features with clear acceptance criteria.
- Own and manage the product backlog, ensuring it reflects business value, stakeholder input, and technical feasibility.
- Continuously groom the backlog based on changing needs, emerging priorities, and iterative feedback.
- Develop and maintain Product Roadmaps aligned with other related and critical Product areas – working closely with Product Managers and other Product Owners.
- Focusing and leading the future strategy and needs of the solution area this individual would be responsible for.
Cross-Functional Collaboration
- Act as a liaison between internal/external development teams and Gainwell/client stakeholders to ensure shared understanding of priorities and goals.
- Participate in Agile practices such as sprint planning, backlog refinement, reviews, and retrospectives to guide delivery and maximize team output.
- Provide day-to-day directions to development/testing teams, answer questions, and clarify user stories as needed to unblock progress as well as participating in solutioning/designing of application alongside of technical leads.
- Understand and be able test within the product(s) which includes executing processes, reviewing testing results, and approving development/testing work for final release.
- Ensure the final product meets quality expectations, user needs, and compliance requirements specific to Medicaid programs.
- Collaborating on sales activities and meeting client needs.
Provider Enrollment and Screening Subject Matter Expertise
- Ensure accurate implementation of Medicaid policy, CMS guidance, and state‑specific rules for Provider Enrollment and Screening.
- Support defect triage and prioritization related to provider enrollment and screening issues impacting active clients.
- Support and evolve provider enrollment and screening integration between systems.
- Partner with Provider+ engineering, operations, and technical teams to ensure alignment across modules and downstream systems.
- Incorporate policy changes and operational needs into backlog prioritization and platform enhancements.
- Participate in client discussions, demos, and working sessions to explain functionality, roadmap direction, and platform capabilities.
- Collaborate with implementation teams to reduce customization, improve configurability, and accelerate onboarding of new clients.
What we're looking for
- 5+ years of experience as a Product Owner, Business Analyst, or Product Manager, preferably in the Medicaid or broader public health sector
- Provider enrollment and screening knowledge
- Solid understanding of Medicaid programs, policies, and business processes such as provider management, claims, encounters, and prior authorization.
- Strong experience working within Agile/Scrum environments
- Proficient in backlog management, requirements gathering, and stakeholder communication
- Excellent organizational, presentation, analytical, and interpersonal skills
What you should expect in this role
- Fully remote opportunity with the option to work anywhere within the United States
- Opportunities to travel through your work (0-10%)
- Willingness to work a flexible schedule to accommodate business needs and travel as required
- 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 September 30, 2026
The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
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