Remote Pharmacy Service Delivery Manager

Gainwell Technologies; Town of Texas (WI); Remote; USD 87,000 - 124,000; Full time

Job summary

Gainwell Technologies is seeking a Pharmacy Manager Service Delivery to lead end-to-end pharmacy testing across PBM and Medicaid solutions, ensuring high-quality delivery and alignment with regulatory requirements. This role emphasizes test strategy, governance, and cross-functional coordination to drive successful implementations.

The position requires extensive experience in software testing, test management, and PBM/pharmacy domains, with remote work options for candidates nationwide in the

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 pharmacy

ALM/JIRA

SQL data validation

Tools

ALM/JIRA

SQL

Job description

Gainwell Technologies is seeking a Pharmacy Manager Service Delivery to lead end-to-end pharmacy testing across PBM and Medicaid solutions, ensuring high-quality delivery and alignment with regulatory requirements. This role emphasizes test strategy, governance, and cross-functional coordination to drive successful implementations.

The position requires extensive experience in software testing, test management, and PBM/pharmacy domains, with remote work options for candidates nationwide in the