Senior Medicaid Pharmacy Systems Developer

Gainwell Technologies LLC•Any city, OH

11d•$72,800 - $104,000•Remote

About The Position

Gainwell Technologies is seeking an experienced 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 will help build and maintain healthcare administration products used by patients and support the healthcare needs of communities.

Requirements

At least 6 years of programming or testing experience with relevant programming languages, relational databases, operating systems, and software.
At least 5 years of progressive software development experience.
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.
Demonstrated 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.
Strong analytical, technical design, debugging, documentation, collaboration, and communication skills.
Video cameras must be used during all interviews and the initial week of orientation.

Nice To Haves

Software development experience within Medicaid, healthcare, or pharmacy benefit systems.

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 complex application code for accurate and efficient processing of pharmacy claim transactions compliant with NCPDP F6 standards.
Lead modifications to existing application modules to accommodate 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-system 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.