Product Manager

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 Product Manager for AI in claims configuration ensures the product team is aligned around outcomes rather than simply delivering requirements. The role maintains strong communication and alignment across cross?functional partners, articulates strategy and progress with clarity, and fosters an environment where the team can operate with autonomy while remaining connected to company goals, regulatory constraints, and operational realities.

The Product Manager is ultimately responsible for the product's results-driving customer adoption, value creation, efficiency improvements, and business performance across the claims adjudication portfolio. This role monitors product performance, evaluates impact, learns from results, and adjusts strategy as needed. The Product Manager also contributes to continuous improvement of product practices, discovery methods, and team processes across the organization.

Your role in our mission

The Product Manager serves as a leader among the product team, responsible for delivering solutions that meet client needs and that meet the needs of the business. This role is accountable for identifying the most important customer problems within the claims adjudication space, understanding the surrounding business and operational constraints, and shaping a clear product vision that guides the team toward meaningful outcomes. Takes accountability and responsibility for defining value, KPIs, the why and the what of product features and functions delivered to the product delivery teams. Partners with internal operations teams including configuration teams, claims operations, provider and member operations and mailroom functions to define problems to be solved, deliver acceptance criteria, defined value proposition and priorities to the product teams. Studies industry trends in the claims adjudication and tangential systems to assist in evaluation of build v. buy decisions, defining product canvas, monitoring compliance trends and requirements, and continuously driving this context for the product teams. Gathers and facilitates requirements gathering, defining output, success criteria and leads data analysis necessary to support product success measurements.

What we're looking for

• 12 or more years of experience in product management, software development, technical support, or consulting
• Experience with product systems design principles
• Experience assessing client business and technology requirements and working with company software and hardware products and services
• Strong skills in product development methodologies such as vision and strategy, business area architecture, iterative custom development, package based development or accelerated application development
• Strong organizational skills with the ability to balance and prioritize work
• Strong analytical, problem solving and decision making skills
  • Medicaid and/or healthcare industry claims adjudication, configuration and processing experience

What you should expect in this role

• Fully Remote Opportunity
• Opportunities to travel through your work (0-10%)
  Note
  
  • 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 June 30, 2026.

The pay range for this position is $108,500.00 - $155,000.00 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.