Remote NCPDP F6 Developer for MMIS

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

Job summary

Gainwell Technologies seeks a Healthcare Applications Developer to implement NCPDP F6 within MMIS/EDI contexts. You will design, code, test, and deploy advanced pharmacy claim processing modules aligned with NCPDP standards. You will collaborate with analysts, architects, and QA to deliver compliant, scalable solutions.

The role is fully remote across the U.S. with limited travel, focusing on robust, regulated healthcare software and professional growth opportunities.

Qualifications

• 5+ years of progressive 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.
• Advanced 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 abilities.
• Excellent analytical, design, documentation, collaboration, and communication skills.

Responsibilities

• Lead and participate in full SDLC for NCPDP F6 implementation across modules.
• Collaborate with analysts, architects, QA, and stakeholders to translate requirements.
• Design, develop, and maintain code for accurate pharmacy claim processing per NCPDP F6.
• Modify modules for updated NCPDP fields, segments, and state requirements.
• Validate mappings, data transformations, and backend integration points with domain experts.
• Create detailed technical documentation and system design artifacts.
• Provide guidance, code reviews, and mentorship to developers.
• Lead testing efforts including unit, integration, UAT, and production stabilization.

Skills

NCPDP standards

EDI processing

SQL

XML

Data transformation

Debugging

Communication

Tools

Java

C#

COBOL

Job description

Gainwell Technologies seeks a Healthcare Applications Developer to implement NCPDP F6 within MMIS/EDI contexts. You will design, code, test, and deploy advanced pharmacy claim processing modules aligned with NCPDP standards. You will collaborate with analysts, architects, and QA to deliver compliant, scalable solutions.

The role is fully remote across the U.S. with limited travel, focusing on robust, regulated healthcare software and professional growth opportunities.