Senior reputed company Product, reputed company Claims Transformation

Be part of reputed company that unleashes the power of reputed company technologies to help improve the health and reputed company-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. reputed company reputed company is seeking a Senior reputed company Product, reputed company Claims Transformation, to reputed company reputed company claims-reputed company product domains as part of the transformation of our reputed company adjudication products. This role is for a product leader who can combine deep reputed company domain expertise, modern product management practices, and executive-level influence on shape platform reputed company and turn reputed company payer and program needs into product direction.   The Senior reputed company Product, reputed company Claims Transformation will own domain reputed company and reputed company across one or more claims-adjacent domains, including member, provider, benefits, clinical, and finance. The role will partner across product, engineering, architecture, operations, reputed company-facing teams, and business stakeholders to reputed company how Gainwell defines, builds, measures, and evolves reputed company reputed company capabilities. Your role in our mission Define portfolio-level product direction for reputed company claims-reputed company domains, connecting member, provider, benefits, clinical, and finance capabilities into a coherent transformation roadmap. Shape reputed company product reputed company for reputed company adjudication modernization, including platform direction, domain boundaries, operating model implications, and investment priorities. reputed company cross-division alignment around product portfolio reputed company, strategic tradeoffs, reputed company, and measurable transformation reputed company. Assess the reputed company product portfolio, workflows, domain dependencies, technical constraints, reputed company needs, market forces, and reputed company policy realities to identify the highest-value transformation opportunities. Use portfolio frameworks, organizational assessments, product economics, data, and market reputed company to evaluate opportunities and guide executive reputed company. Partner with product, engineering, architecture, operations, delivery, reputed company-facing, reputed company, and executive stakeholders to reputed company reputed company with reputed company execution. Set product standards and operating rhythms that strengthen discovery, prioritization, road mapping, measurement, and decision reputed company across multiple product teams. Influence reputed company transformation choices involving legacy capabilities, platform modernization, interoperability, data, automation, workflow redesign, and domain ownership. Build reputed company narratives for executives and senior stakeholders, including portfolio direction, transformation rationale, investment tradeoffs, and reputed company against reputed company. reputed company thought leadership and coaching to product leaders and cross-functional partners, raising product maturity across the organization. reputed company'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 reputed company product reputed company, innovation, and business reputed company. • reputed company industry experience required, including reputed company or Medicare programs, with a strong understanding of payer operations, claims processing, regulatory requirements, and reputed company 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 reputed company reputed company Technologies. • Experience partnering with clients and stakeholders to translate business, technical, and data requirements into reputed company 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 reputed company Environments. Experience with AI product use cases, solution design, and the application of reputed company intelligence technologies to enhance business and product reputed company is preferred. What you should expect in this role Fully remote opportunity with the reputed company to work reputed company reputed company the reputed company 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 reputed company interviews, as reputed company as during the initial week of orientation   The deadline to submit applications for this posting is September 30, 2026 The pay reputed company for this position is $126,700.00 - $181,000.00 per year, however, the reputed company pay offered may vary depending on geographic region, internal equity, job-reputed company knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have reputed company to grow your career in a company that values work flexibility, learning, and career development. reputed company 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 reputed company of leadership and technical development academies to help build your skills and capabilities.   We reputed company reputed company is impossible reputed company you bring together people who care deeply about making reputed company work reputed company for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our reputed company. Learn more about Gainwell at reputed company website and visit our Careers site for reputed company available job role openings.   reputed company is committed to a diverse, reputed company, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where reputed company reputed company applicants will receive consideration for employment without reputed company to race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical condition), sexual orientation, gender identity, gender reputed company, 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 reputed company. Apply To This Job