Professional, Application Designer

Gainwell Technologies; Pennsylvania; Remote; USD 58,000 - 83,000; Full time

Benefits offered by this job

Flexible vacation

Educational assistance

401(k) match

Health benefits

Leadership academies

Job summary

Gainwell Technologies is seeking an experienced Professional Developer to support the NCPDP F6 implementation for state Medicaid pharmacy programs. You will lead the full software development lifecycle, collaborate with analysts and architects, and ensure compliant processing of pharmacy claims across backend systems.

You will design, develop, and maintain complex code, align with updated NCPDP standards, and provide technical guidance while supporting testing, deployment, and production

Qualifications

• 5+ years of software development experience, preferably in Medicaid, healthcare, or pharmacy benefit systems.
• Strong hands‑on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements.
• Proficiency in Java, C#, or COBOL, depending on project environment.
• Experience with EDI processing, pharmacy claims, and MMIS.
• Strong SQL, XML, data transformation tools, interfaces, and debugging skills.
• Excellent analytical, design, documentation, and communication abilities.

Responsibilities

• Lead and participate in the full SDLC for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support.
• Collaborate with business analysts, system architects, QA teams, and stakeholders to translate requirements into scalable solutions.
• Design, develop, and maintain complex application code for accurate processing of NCPDP F6 transactions.
• Lead modifications to existing modules for updated NCPDP field definitions and state-specific requirements.
• Partner with EDI, Medicaid, and pharmacy experts to validate mappings and integration points with backend systems.
• Develop and maintain technical documentation, including designs, mappings, and interface specs.
• Provide guidance, conduct code reviews, and mentor less-experienced developers in standards and best practices.
• Lead technical support for unit/integration/UAT testing, defect resolution, deployment, and production stabilization.

Skills

Java

C#

COBOL

EDI processing

SQL

XML

MMIS (Medicaid)

Job description

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Professional, Application Designer

Date: Oct 1, 2026

Location:

Any city, PA, US, 99999

Work Mode: Default

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Professional, Application Designer 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. Here are the details on this position.

Gainwell Technologies is seeking an experienced Professional Developer to support the implementation of the NCPDP F6 standard for one of our state Medicaid pharmacy programs. The selected candidate will provide advanced technical expertise across the analysis, design, development, testing, and deployment of enhancements required to meet NCPDP F6 transaction and data exchange requirements.

Your role in our mission

• Lead and participate in the full software development lifecycle (SDLC) 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 to ensure 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.
• Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, layouts, data transformations, and integration points with backend systems.
• Develop and maintain detailed 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 (UAT), defect resolution, deployment, and production stabilization

What we're looking for

• 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.
• 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.
• Excellent analytical, technical design, debugging, documentation, collaboration, and communication skills.

What you should expect in this role

• Fully Remote Opportunity – Work from anywhere in the U.S.
• Minimal Travel Required – Occasional travel opportunities (0-10%).
• 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 October30, 2026

The pay range for this position is $58,200.00 - $83,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job‑related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

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.