Experienced Application Architect

Gainwell Technologies; Texas; On-site; USD 95,100 - 135,800; Full time

Benefits offered by this job

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Job summary

Gainwell Technologies is seeking an Experienced Application Architect to bridge business needs with technical execution in healthcare domains. This remote position requires strong SQL skills and a deep understanding of Medicaid pharmacy claims processing.

Your responsibilities will include analyzing data flows, supporting business analysts, and mentoring junior analysts. Candidates should possess 3-5 years of experience in technical analysis related to healthcare systems.

Join us for an opportunity involving competitive pay and comprehensive benefits.

Qualifications

• 3-5 years of experience as a technical analyst, data analyst, or healthcare systems analyst.
• Advanced SQL skills with large datasets and data transformations.
• Strong understanding of Medicaid pharmacy claims processing.

Responsibilities

• Support business analysts with system data insights.
• Apply healthcare knowledge to validate technical decisions.
• Document and communicate technical decisions and impacts.

Skills

Advanced SQL skills

Healthcare systems knowledge

Communication skills

Data Element Dictionaries familiarity

Job description

Experienced Application Architect

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

Summary

The Technical Analyst plays a critical role in bridging business needs with technical execution across one or more functional domains (e.g., Member, Provider, Claims/UM, Pharmacy, Finance, Plan, or VUE360). Working in close collaboration with Business Analysts and Configuration Analysts, the Technical Analyst ensures that solutions are technically sound, data‑driven, and aligned with project and system architecture. This role provides essential support for system design and technical specification creation, data setup, testing, and decision‑making throughout the Software Development Life Cycle (SDLC). The analyst leverages deep SQL expertise, an understanding of healthcare concepts, familiarity with Data Element Dictionaries (DEDs), and knowledge of Medicaid pharmacy claims processing, NDC‑based pricing, DUR edits, prior authorization workflows, and pharmacy benefit rules.

Your role in our mission

• Support business analysts with insight into how system data and integrations meet operational and policy needs, including pharmacy benefit rules and pharmacy claims data structures.
• Apply healthcare and pharmacy domain knowledge to validate logic, dependencies, and downstream impacts of technical decisions.
• Use advanced SQL skills to extract, analyze, and validate data to support solutioning, testing, and quality assurance, including pharmacy claims data elements such as NDCs, quantities, units, pricing fields, and DUR indicators.
• Interpret and utilize Data Element Dictionaries (DEDs) to understand data structures and relationships across modules, including pharmacy‑specific data dictionaries.
• Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems.
• Serve as a liaison between business users, developers, QA, and configuration teams to ensure shared understanding of requirements, including pharmacy‑specific rules and adjudication logic.
• Document and communicate technical decisions, risks, and impacts clearly and concisely to stakeholders, including pharmacy program impacts.
• Develop detailed technical solution models and recommend scalable approaches that align with enterprise architecture and platform capabilities, including pharmacy claims and pharmacy benefit configurations.
• Mentor junior technical analysts on data standards, SQL best practices, and documentation expectations, including pharmacy claims data structures and pricing logic.
• Provide analytical support during defect resolution, system configuration validation, and pre‑deployment quality checks, including pharmacy claims adjudication and DUR logic validation.

What we're looking for

3–5 years of experience in a technical analyst, data analyst, or healthcare systems analyst role.

• Advanced SQL skills, including experience with joins, data transformations, and large dataset manipulation, including pharmacy claims datasets.
• Strong understanding of healthcare systems and Medicaid concepts, including Medicaid pharmacy claims processing, NDC‑based pricing, DUR edits, prior authorization workflows, and pharmacy benefit rules.
• Familiarity with Data Element Dictionaries (DEDs), interface specifications, and integration design, including pharmacy‑related interfaces such as NCPDP.
• Excellent communication and documentation skills.
• Experience working in SDLC and Agile environments preferred.
• Understanding of system implementation in cloud platforms (AWS/Azure/Google Cloud) is a plus.

What you should expect in this role

• United States remote opportunity
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The Deadline to submit applications for this posting is June28, 2026

#LI-GD1

#LI-REMOTE

The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

All salaried, full‑time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.”