Medicaid Product & Solution Strategist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Create and guide strategies for Medicaid modernization.

• Evaluate current systems and convert business and technology requirements into target-state solutions and phased plans.

• Assist with Medicaid pursuits, RFPs, renewals, recompetes, and expansions.

• Formulate comprehensive solution strategies, recommendations, and business cases.

• Collaborate with Product, Architecture, Engineering, Delivery, Finance, and Growth teams.

• Ensure alignment of product capabilities, integrations, dependencies, investment needs, and delivery methods.

• Design integrated MES and enterprise solutions that balance reusable and configurable features with specific state Medicaid requirements.

• Create modernization roadmaps and business cases that take into account cost, risk, implementation feasibility, time-to-value, and quantifiable client and financial outcomes.

• Steer modernization strategies from initial client conversations and pre-RFP preparation through DDI implementation and execution.

• Lead strategic dialogues with state Medicaid leaders and internal executives.

• Simplify complex technical subjects into clear business recommendations and trade-offs.

• Head cross-functional solutioning initiatives.

• Prepare executive presentations, modernization playbooks, decision frameworks, and reusable best practices.

⛳️ Requirements

• Over 12 years of experience in Medicaid/MMIS, healthcare technology, product management, solution consulting, solution architecture, systems integration, or large-scale technology modernization.

• Proven experience in leading complex cross-functional projects.

• Extensive knowledge of Medicaid enterprise systems and business capabilities.

• Familiarity with claims and encounters, EDI/integration, data/analytics, and systems integration.

• Experience in developing enterprise modernization strategies and solution architectures.

• Skilled in current-state assessments, target-state definitions, modular solution design, transition roadmaps, integration dependencies, and phased implementation strategies.

• Significant experience in supporting complex pursuits, RFPs, or client solutions.

• Ability to convert business and technical requirements into integrated solutions, executive recommendations, roadmaps, and business cases.

• Strong executive-level communication and cross-functional leadership abilities.

• Capacity to influence senior client and internal stakeholders.

• Competence in leading initiatives across Product, Architecture, Engineering, Delivery, Growth, and Finance without direct reporting authority.

🏝️ Benefits

• Flexible work arrangements.

• Opportunities for learning and career advancement.

• Technical credentials and certification opportunities.

• Generous and flexible vacation policy.

• Educational assistance benefits.

• Leadership and technical development programs.

• 401(k) employer matching.

• Comprehensive health benefits package.

• Occasional travel opportunities.

• Flexible vacation policy for salaried, full-time employees.