Senior Medicaid Pharmacy Systems Engineer - Remote

Gainwell Technologies; New Jersey; Remote; USD 73,000 - 104,000; Full time

Benefits offered by this job

401(k) employer match

Health benefits

Educational assistance

Generous vacation policy

Job summary

Gainwell Technologies is seeking a Senior Medicaid Pharmacy Systems Developer to drive the NCPDP F6 implementation across state programs. You’ll leverage your programming and analytical skills to deliver compliant transaction processing and robust data integration in a modern healthcare tech environment.

You will collaborate with analysts, architects, and QA teams, mentor junior developers, and contribute to documentation and deployment processes.

Qualifications

• 6+ years of experience programming or testing with relevant languages and databases.
• 5+ years of progressive software development experience, preferably in Medicaid/healthcare.
• Strong hands-on knowledge of NCPDP standards, including D.0 and F6 structures.
• Proficient in one or more languages such as Java, C#, or COBOL.
• Experience with EDI processing, pharmacy claims, and MMIS.
• Strong experience with SQL, XML, data transformation tools, interfaces, and troubleshooting.

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, QA, and stakeholders to translate requirements into scalable technical solutions.
• Design, develop, and maintain complex application code to ensure accurate and efficient processing of pharmacy claim transactions.
• Lead modifications to existing modules to accommodate updated NCPDP field definitions and state-specific requirements.
• Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 mappings and data transformations.
• Develop and maintain detailed technical documentation, including designs, data mappings, and interface specs.
• Provide technical guidance, conduct code reviews, and support less-experienced developers in standards and practices.
• Lead technical support for unit testing, integration testing, UAT, defect resolution, deployment, and production stabilization.

Skills

NCPDP standards (D.0 and F6)

Programming languages: Java, C#, COBOL

SQL

EDI processing

MMIS knowledge

Analytical skills

Job description

Gainwell Technologies is seeking a Senior Medicaid Pharmacy Systems Developer to drive the NCPDP F6 implementation across state programs. You’ll leverage your programming and analytical skills to deliver compliant transaction processing and robust data integration in a modern healthcare tech environment.

You will collaborate with analysts, architects, and QA teams, mentor junior developers, and contribute to documentation and deployment processes.