Senior Medicaid Pharmacy Systems Developer

Gainwell Technologies LLC; Ohio; Remote; USD 73,000 - 104,000; Full time

Benefits offered by this job

Fully remote opportunity

Generous vacation policy

401(k) employer match

Health benefits

Educational assistance

Leadership and technical academies

Job summary

Gainwell Technologies is seeking an experienced Professional Developer to support the implementation of the NCPDP F6 standard for one of our state Medicaid pharmacy programs. The selected candidate will provide advanced technical expertise across the analysis, design, development, testing, and deployment of enhancements required to meet NCPDP F6 transaction and data exchange requirements.

Gainwell Technologies is an innovative healthcare technology company with mission to serve healthcare needs.

Qualifications

• 6+ years of experience programming or testing with relevant languages, relational databases, operating systems, and software.
• 5+ years progressive 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.
• Demonstrated experience with EDI processing, pharmacy claims, and 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 activities.

Skills

NCPDP F6

SQL

EDI processing

Java/C#/COBOL

MMIS

Data transformation

Tools

XML

Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Senior Medicaid Pharmacy Systems Developer at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. You will use your programming and analytical skills to drive the development of healthcare administration products used, and relied upon, by millions of patients. Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional developmental opportunities.

Gainwell Technologies is seeking an experienced Professional Developer to support the implementation of the NCPDP F6 standard for one of our state Medicaid pharmacy programs. The selected candidate will provide advanced technical expertise across the analysis, design, development, testing, and deployment of enhancements required to meet NCPDP F6 transaction and data exchange requirements.

Your role in our mission

• 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 activities.

What we're looking for

• 6 or more years of experience programming or testing experience working with relevant programming languages, relational databases, operating systems and software
• 5+ years of progressive 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.

What you should expect in this role

• Fully Remote Opportunity – Work from anywhere in the U.S.
• Minimal Travel Required – Occasional travel opportunities (0-10%).
• Video cameras must be used during all interviews, as well as during the initial week of orientation

The deadline to submit applications for this posting is December 30, 2026

#LI-REMOTE

The pay range for this position is $72,800.00 - $104,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.