Pharmacy Test Manager
Gainwell Technologies LLC • Any city, OH25d • $85,000 - $121,400 • Remote
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Pharmacy Test Manager
Gainwell Technologies LLC•Any city, OH
•$85,000 - $121,400•Remote
About The Position
As a Pharmacy Test Manager at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.
Requirements
- 10+ years of software testing experience.
- 5+ years of Test Management experience.
- Strong PBM or Medicaid pharmacy experience.
- Experience with large-scale DDI or MMIS modernization programs.
- Expertise in: Claims adjudication , NCPDP transactions , Prior Authorization , Formulary management , Drug Rebate processing , Pharmacy financial validation
- Experience using ALM/JIRA and SQL for data validation.
- Strong leadership, communication, and stakeholder management skills.
Responsibilities
- Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation to ensure quality delivery of PBM and Medicaid pharmacy solutions.
- Develop and manage test strategy, plans, schedules, and execution governance, ensuring alignment with business requirements, CMS guidelines, and state Medicaid regulations.
- Oversee pharmacy functional validation, including claims adjudication, drug pricing, formulary management, prior authorization, rebates, NCPDP transactions, and financial reconciliation processes.
- Manage defects and cross-functional coordination among business SMEs, vendors, developers, conversion teams, and testing resources to ensure timely issue resolution and testing readiness.
- Provide leadership reporting and stakeholder communication by tracking quality metrics, risks, issues, and test progress.
Benefits
- flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
No Education Listed
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