We are seeking to hire a MMIS (Medicaid) Provider Integration & Analytics Delivery Manager with expertise in Medicaid Provider+ implementations, to join our teams working on a new multi-year awards we have within several State Gov’t clients, modernizing their Medicare/Medicaid systems. These roles are 100% remote.
Being a US Cit is required for working on this program.
This position pays a strong salary package with full benefits (including choice of healthcare plans, dental, vision, life insurance, 3 weeks PTO, 11 Paid Federal Holidays, and a matching 401k).
An option for working on an hourly rate is also available for those not needing a full benefits package.
Position Overview
The Principal Provider Integration & Analytics Delivery Manager is a senior, client-facing
techno-functional leader responsible for end-to-end data and analytics delivery for Gainwell’s
Provider+ solution. This role oversees all reporting, interface/integration, data conversion,
and analytics workstreams, ensuring technical design integrity, data quality, and compliance
across requirements, design, build/configuration, testing (SIT/UAT), and implementations.
The role partners closely with Engagement Leaders to align technical delivery with client
commitments, provide expert guidance on feasibility, risks, and trade-offs, and drive rigorous
cross-team execution while managing delivery plans and outcomes.
Key Responsibilities
· Oversee end-to-end delivery of data integration, interfaces, conversions, reporting, and analytics for Provider+ implementations across all lifecycle phases.
· Own and maintain the integration/interface catalog, including all inbound and outbound data exchanges (e.g., provider enrollment, credentialing, screening, MCOs, state hubs).
· Lead technical design integrity for interfaces, APIs, data mappings, schemas, error handling, and reconciliation, ensuring traceability from requirements through testing.
· Coordinate with engineering and platform teams on build/configuration/localization of integrations, conversions, and analytics pipelines; validate unit and integration test evidence prior to SIT.
· Define and govern provider data conversion and migration strategy, including mapping, cleansing rules, load approach, cutover sequencing, reconciliation, and acceptance criteria.
· Drive analytics and reporting readiness, ensuring datasets, feeds, semantic models, and dashboards are aligned to source-of-truth and ready for UAT and production.
· Ensure non-functional requirements and compliance (security, privacy, auditability, performance) are met in partnership with Architecture and Security teams.
· Serve as the primary technical/data advisor to the Engagement Lead, assessing feasibility of requirements and providing impact analysis and options for scope/schedule trade-offs.
· Lead client facing delivery cadences, including recuring program wide delivery meetings and executive ready status reporting with clear risks and mitigations.
· Drive technical execution quality by setting and enforcing delivery standards, including documentation, coding guidelines, peer reviews, and unit testing expectations.
· Support staffing and financial forecasting inputs, and budget cycle activities needed to keep delivery on track.
Required Skills and Experience
· Proven experience leading large-scale data integration, analytics, and reporting deliveries with significant scope and complexity.
· Strong client-facing communication and stakeholder management skills, including governance leadership and executive-level reporting.
· Deep technical expertise in enterprise data warehousing and BI, including data architecture, data modeling, ETL/ELT patterns, data quality, and reconciliation.
· Hands-on experience with modern data platforms such as Databricks or comparable technologies (e.g., Snowflake, Azure Synapse).
· Proficiency with Power BI (semantic models, dashboards, deployment practices) and advanced SQL for data analysis and automation.
· Strong experience with system integrations and interfaces, including API-based integrations and industry standards such as FHIR (Fast Healthcare Interoperability Resources).
· Demonstrated success operating in complex, matrixed environments with onshore and offshore teams.
· Strong domain knowledge of Medicaid/MMIS provider operations, including provider enrollment, credentialing, screening, managed care integrations, and CMS reporting.
· Demonstrated success operating in complex, matrixed environments with onshore and offshore delivery teams.
Qualifications
· Bachelor’s degree in Information Systems, Computer Science, Engineering, Data Analytics, or related field.
· 8+ years of Management Consulting experience in Medicaid State & Local Government OR Commercial Payer Experience
Preferred Skills
· Experience in healthcare, insurance, or regulated industries.
· Experience working with offshore/onsite resource pools is a plus.
If qualified and interested, please send an updated resume along with rate/salary requirement and we will follow up quickly to discuss further details and move forward with your interview process.
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