Agile Portfolio Manager – MMIS Medicaid Domain
Location
Maryland
Posted
1 day ago
Salary
$86.8K - $124K / year
Seniority
Lead
Job Description
Agile Portfolio Manager – MMIS Medicaid Domain
Gainwell Technologies
• Manage portfolio work intake, prioritization, and resource allocation using Agile demand management, specifically for MMIS Medicaid projects and enhancements. • Implement and oversee Agile methodologies (Scrum, Kanban, SAFe) across multiple teams working on Medicaid eligibility, claims, provider management, and related modules. • Ensure compliance with Medicaid regulations, CMS guidelines, and state-specific requirements throughout the portfolio lifecycle. • Continuously improve team productivity through process optimization, Lean/Agile methodologies, and value stream mapping, with a focus on Medicaid operational excellence. • Develop and maintain executive dashboards and metrics-driven reporting for leadership, highlighting Medicaid program performance, regulatory compliance, and operational KPIs. • Align portfolio initiatives with Medicaid program strategy, state and federal mandates, and business objectives. • Facilitate regular portfolio reviews, audits, and coaching sessions for MMIS teams. • Lead incident and problem management processes, root cause analysis, and service improvement initiatives within the Medicaid ecosystem. • Collaborate with stakeholders, including executive leadership, state agencies, and Medicaid program managers, to communicate portfolio health and recommendations.
Job Requirements
- Minimum 7+ years of experience in portfolio management, program management, or project management within the MMIS Medicaid domain or other large-scale healthcare IT environments.
- Proven experience implementing Agile methodologies and managing large teams (100+ members) in Medicaid or healthcare IT projects.
- Strong understanding of Medicaid regulations, CMS guidelines, and MMIS operational requirements.
- Expertise in Lean/Agile methodologies, productivity improvement, and executive reporting.
- Excellent communication and stakeholder management abilities, including experience working with state agencies and Medicaid program managers.
Benefits
- generous, flexible vacation policy
- educational assistance
- comprehensive health benefits
- 401(k) employer match
- leadership and technical development academies
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Senior Claims Manager – EPL
ProvidenceAt Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
• Provide direct handling of the organization’s Employment Practice Liability Claims. • Coverage analysis, investigation, evaluation, negotiation, and disposition of assigned claims. • Communicate and collaborate with key stakeholders. • Manage loss exposures and ensure compliance with legal and regulatory requirements.
Access Optimization Manager
R1 RCMTechnology-driven revenue cycle management services for healthcare providers.
• Apply expertise in Patient Access workflows (registration, financial clearance, scheduling, and customer service) to support the design and optimization of AI-enabled tools and automated workflows • Partner with cross-functional teams to translate Patient Access operational processes into scalable, technology-enabled solutions • Evaluate and refine AI-driven quality frameworks, scoring logic, and workflow outputs to ensure alignment with operational standards and expected outcomes • Support team performance management by developing and maintaining performance plans that outline operational initiatives, priorities, and tasks to ensure performance expectations are achieved • Prepare, analyze, and present reports, dashboards, and presentations for regular business review cadences; serve as the operational subject matter expert for team metrics, contractual KPIs, standards, and reporting. • Partner with leadership and cross-functional teams to design, improve, and implement processes that increase operational efficiency, optimize cost, leverage technology, and maximize performance outcomes • Support cross-functional projects and assist with the coaching, development, and day-to-day guidance of Lead-level team members
Bed Readiness Case Manager
MultiCare Health SystemAt MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.
Role Description The Bed Readiness Case Manager (BRCM) for Post-Acute Care (PAC) provides exemplary cross-continuum care coordination, working with physicians, internal teams, and community partners to manage and optimize patient care. This role identifies opportunities to improve care delivery, advance population health, and strengthen collaboration, including increasing utilization of designated MultiCare post-acute services, expanding into new markets, and growing market share. As a highly visible professional, the BRCM maintains extensive engagement with the post-acute care community and develops a deep understanding of community-based service needs and dynamics. - Manage Length of Stay (LOS) and Rehospitalization Risk - Coordinate Cross-Continuum Care - Drive Bed Readiness and Network Utilization - Manage Community Account Relationships - Identify Performance Improvement Opportunities - Support Market Growth and Expansion - Act as a Subject Matter Expert (SME) - Lead Communication and Escalation Pathways Qualifications - Bachelor’s degree in Healthcare Administration, Nursing, Social Work, Business, or related field; or equivalent combination of education and relevant experience. - Demonstrated experience managing post-acute care resources within a Medicaid payer environment, with a focus on optimizing utilization, managing length of stay, and reducing rehospitalization risk. - Minimum three (3) years proven experience coordinating care across the continuum, including acute care, skilled nursing, assisted living, adult family homes, and home and community-based services. - Minimum three (3) years experience managing or supporting community-based provider relationships, including skilled nursing facilities (SNFs), assisted living facilities (ALFs), adult family homes (AFHs), and home health agencies. - Strong understanding of Medicaid regulations, care coordination models, and post-acute care network dynamics. - Demonstrated ability to lead complex problem-solving efforts, manage competing priorities, and drive measurable outcomes in a fast-paced environment. Benefits - Flexible schedule: Make a positive difference in your community and have time and energy to pursue your passions outside of work. - Team-based care model: Be part of a team that is dedicated to excellence - not only for our customers, but for each other. No patient panels. - Modern clinic environment: Technology-enabled clinics designed for today’s clinician and clinical staff. - Unique earning potential: Competitive compensation enhanced by volume incentives, customer experience bonuses, sign-on bonuses, tuition assistance, and more. Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $94,889.60 - $136,572.80 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
• Lead a high-impact team dedicated to expanding Bitsight's ability to detect compromised systems worldwide • Drive innovation in data collection strategies, specifically focusing on broad-scale opportunistic domain sinkholing, bot emulation, and other malware tracking techniques • Own the domain and malware triage workflows setting priorities for targeted malware investigations • Serve as the primary champion and advocate for enhancing Bitsight’s suite of product features with evolving victim intelligence capabilities and data



