Remote Pharmacy Service Delivery Lead

Gainwell Technologies LLC; Austin (TX); Remote; USD 87,000 - 124,000; Full time

Benefits offered by this job

Educational assistance

Flexible vacation policy

Leadership academies

Job summary

Gainwell Technologies LLC is seeking a Pharmacy Manager Service Delivery to lead end-to-end testing for PBM and Medicaid pharmacy solutions. You will design test strategies, govern schedules, and ensure quality across SIT, UAT, and production validation.

You will oversee functional validation, including claims adjudication, formulary management, prior authorization, rebates, and financial reconciliation. Strong leadership and stakeholder communication are essential in this remote role.

Qualifications

• 10+ years of software testing experience.
• 5+ years of test management experience.
• Strong PBM or Medicaid pharmacy experience.
• Experience with large-scale DDI or MMIS modernization programs.
• Expertise in: Claims adjudication, NCPDP transactions, Prior Authorization, Formulary management, Drug Rebate processing, Pharmacy financial validation.
• Experience using ALM/JIRA and SQL for data validation.

Responsibilities

• Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation to ensure quality delivery of PBM and Medicaid pharmacy solutions.
• Develop and manage test strategy, plans, schedules, and execution governance, ensuring alignment with business requirements, CMS guidelines, and state Medicaid regulations.
• Oversee pharmacy functional validation, including claims adjudication, drug pricing, formulary management, prior authorization, rebates, NCPDP transactions, and financial reconciliation processes.
• Manage defects and cross-functional coordination among business SMEs, vendors, developers, conversion teams, and testing resources to ensure timely issue resolution and testing readiness.
• Provide leadership reporting and stakeholder communication by tracking quality metrics, risks, issues, and test progress.

Skills

Software testing

Test management

PBM/Medicaid testing

NCPDP transactions

SQL data validation

ALM/JIRA

Defect management

Stakeholder communication

Quality metrics

Pharmacy testing domain

Tools

ALM/JIRA

SQL

Job description

Gainwell Technologies LLC is seeking a Pharmacy Manager Service Delivery to lead end-to-end testing for PBM and Medicaid pharmacy solutions. You will design test strategies, govern schedules, and ensure quality across SIT, UAT, and production validation.

You will oversee functional validation, including claims adjudication, formulary management, prior authorization, rebates, and financial reconciliation. Strong leadership and stakeholder communication are essential in this remote role.