MMIS)

Gainwell Technologies LLC•Any city, OH

11d•$58,200 - $83,200•Remote

About The Position

Gainwell Technologies is seeking an experienced Professional Developer to support implementation of the NCPDP F6 standard for a state Medicaid pharmacy program. The role provides advanced technical expertise across analysis, design, development, testing, and deployment of enhancements needed to meet NCPDP F6 transaction and data exchange requirements. The developer collaborates with business and technical stakeholders to deliver scalable solutions and ensure accurate processing of pharmacy claims in compliance with applicable standards and state-specific requirements. This is a fully remote opportunity available to candidates working from anywhere in the U.S., with occasional travel of 0–10%. Video cameras are required during interviews and the initial week of orientation. The application deadline is December 30, 2026.

Requirements

At least 5 years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems.
Strong hands-on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements.
Advanced proficiency in one or more programming languages such as Java, C#, or COBOL, depending on the project environment.
Experience with EDI processing, pharmacy claims, and Medicaid Management Information Systems (MMIS).
Strong experience with SQL, XML, data transformation tools, system interfaces, and troubleshooting complex data-processing issues.
Analytical, technical design, debugging, documentation, collaboration, and communication skills.

Responsibilities

Lead and participate in the full software development lifecycle for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support.
Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable technical solutions.
Design, develop, and maintain application code for accurate and efficient processing of pharmacy claim transactions compliant with NCPDP F6 standards.
Modify existing application modules to support updated NCPDP field definitions, segment structures, transaction rules, and state-specific business requirements.
Work with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, layouts, data transformations, and backend integration points.
Develop and maintain technical documentation, including solution designs, data mappings, interface specifications, code documentation, and system design artifacts.
Provide technical guidance, conduct code reviews, and support less-experienced developers in applying development standards and project best practices.
Lead technical support for unit testing, integration testing, user acceptance testing, defect resolution, deployment, and production stabilization.