Remote Pharmacy Testing Manager (PBM/Medicaid)

Gainwell Technologies; Texas; Remote; USD 87.000 - 124.000; Vollzeit

Benefits dieser Stelle

Remote work

401(k) matching

Health benefits

Educational assistance

Zusammenfassung

Gainwell Technologies is a fully remote employer in the United States seeking a Pharmacy Testing Manager (PBM/Medicaid) to lead end-to-end testing of pharmacy solutions. You will develop test strategies, manage schedules, and ensure quality across SIT, UAT, and production, aligning with CMS/state Medicaid requirements.

Ideal candidates have 10+ years in software testing and 5+ years in test management, with strong PBM/Medicaid pharmacy experience and proficiency with ALM/JIRA and SQL for data

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Software testing

Test management

PBM/Medicaid

CMS regulations

NCPDP transactions

ALM/JIRA validation

SQL data validation

Tools

ALM/JIRA

SQL

Jobbeschreibung

Gainwell Technologies is a fully remote employer in the United States seeking a Pharmacy Testing Manager (PBM/Medicaid) to lead end-to-end testing of pharmacy solutions. You will develop test strategies, manage schedules, and ensure quality across SIT, UAT, and production, aligning with CMS/state Medicaid requirements.

Ideal candidates have 10+ years in software testing and 5+ years in test management, with strong PBM/Medicaid pharmacy experience and proficiency with ALM/JIRA and SQL for data