Remote Medicaid Pharmacy Testing Leader

Gainwell Technologies LLC; Austin (TX); Remote; USD 140,000 - 160,000; Full time

Benefits offered by this job

Generous vacation policy

Educational assistance

Leadership academies

Job summary

Gainwell Technologies is seeking an executive-level leader to direct Pharmacy Benefit Management (PBM) testing across Medicaid programs. You will define enterprise testing strategies, oversee SIT/UAT, automation, and production readiness while partnering with business and state stakeholders.

You will manage multi-vendor teams, budgets, and KPIs, advance quality initiatives, and drive client outcomes. Remote work available nationwide with occasional travel up to 10%.

Qualifications

• 13+ years of experience leading end-to-end testing strategy and execution for large-scale Medicaid PBM implementations.
• Bachelor's degree or equivalent combination of education and experience.
• Advanced degree preferred.

Responsibilities

• Lead the strategy, planning, governance, and execution of end-to-end pharmacy testing across Medicaid PBM implementations and production enhancements.
• Establish testing standards, methodologies, tools, and quality frameworks for SIT, UAT, regression, automation, parallel testing, and production readiness.
• Partner with business, product, implementation, and state stakeholders to ensure requirements are validated and aligned with regulatory, contractual, and operational expectations.
• Oversee multi-vendor and onshore/offshore testing teams, ensuring accountability for test execution, defect management, quality outcomes, and delivery timelines.
• Develop demand forecasts and resource plans to support implementation schedules and operational priorities.
• Prepare, manage, and monitor operating and personnel budgets, ensuring effective use of resources and adherence to financial targets.
• Establish and report key quality metrics, testing KPIs, defect trends, and executive dashboards to provide transparency into program health and readiness.
• Identify, assess, and mitigate risks, dependencies, and quality issues that could impact implementation or operational performance.
• Drive continuous improvement initiatives that increase testing efficiency, automation adoption, quality outcomes, and client satisfaction.
• Support business development efforts by contributing pharmacy testing expertise, implementation strategies, and solution recommendations for new opportunities.

Skills

Test leadership

Testing strategy

Regulatory knowledge

Automation testing

Vendor management

Cross-functional collaboration

SIT/UAT

Education

Bachelor's degree

Advanced degree preferred

Tools

NCPDP D.0

Job description

Gainwell Technologies is seeking an executive-level leader to direct Pharmacy Benefit Management (PBM) testing across Medicaid programs. You will define enterprise testing strategies, oversee SIT/UAT, automation, and production readiness while partnering with business and state stakeholders.

You will manage multi-vendor teams, budgets, and KPIs, advance quality initiatives, and drive client outcomes. Remote work available nationwide with occasional travel up to 10%.