Remote NCPDP EDI/MMIS Developer (Healthcare)

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

Benefits offered by this job

Generous vacation policy

Educational assistance

401(k) employer match

Comprehensive health benefits

Technical/leadership developmentAcadem

Job summary

Gainwell Technologies is seeking an experienced Healthcare Applications Developer to support the NCPDP F6 implementation for a state Medicaid program. You will lead design, development, testing, and deployment of complex pharmacy claim transactions, collaborating with analysts, architects, and QA teams.

You will translate requirements into scalable technical solutions, validate data mappings with domain experts, and produce thorough technical documentation.

Qualifications

• 5+ years of 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.

Responsibilities

• 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.

Skills

NCPDP standards

Java

C#

COBOL

EDI processing

MMIS

SQL

XML

Analytical skills

Communication skills

Job description

Gainwell Technologies is seeking an experienced Healthcare Applications Developer to support the NCPDP F6 implementation for a state Medicaid program. You will lead design, development, testing, and deployment of complex pharmacy claim transactions, collaborating with analysts, architects, and QA teams.

You will translate requirements into scalable technical solutions, validate data mappings with domain experts, and produce thorough technical documentation.