Senior Manager Service Delivery
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
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. 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
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. 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.