Software Architect/Development Architect

Gainwell Technologies LLC; Ohio; Remote; USD 95,000 - 136,000; Full time

Benefits offered by this job

Generous vacation policy

Educational assistance

Leadership and technical development a

401(k) employer match

Comprehensive health benefits

Development academies

Job summary

Gainwell Technologies is offering a fully remote Technical/Data Analyst role focused on healthcare systems and Medicaid pharmacy claims. You will translate business requirements into technical specifications, design data models, and support SDLC-driven development across modules and interfaces.

You will leverage advanced SQL skills, work with Data Element Dictionaries, and collaborate with analysts, QA, and configuration teams to ensure data-driven solutions and compliant pricing rules.

Qualifications

• 3–5 years in a technical analyst, data analyst, or healthcare systems analyst role.
• Advanced SQL skills including joins, transformations, and large dataset manipulation.
• Strong understanding of Medicaid pharmacy claims processing and related rules.
• Familiarity with Data Element Dictionaries (DEDs) and integration design.
• Experience in SDLC and Agile environments.
• Knowledge of cloud platforms (AWS/Azure/Google Cloud) is a plus.

Responsibilities

• Use advanced SQL to extract, analyze, and validate data supporting solutioning, testing, and QA.
• Interpret Data Element Dictionaries to understand data structures across modules.
• Analyze data flows and integration logic for internal systems and external interfaces.
• Coordinate between business users, developers, QA, and configuration teams on requirements.
• Document technical decisions, risks, and impacts for stakeholders.
• Develop technical solution models aligned with enterprise architecture and platform capabilities.
• Mentor junior analysts on data standards and SQL best practices.
• Support defect resolution, configuration validation, and pre‑deployment checks.

Skills

SQL skills

Healthcare systems

Data Element Dictionaries

SDLC

Agile

Cloud experience

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. 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. Member, Provider, Claims/UM, Pharmacy, Finance, Plan, or VUE360). Working in close collaboration with Business Analysts and Configuration Analysts, the Technical Analyst ensures that solutions are technically sound, data‑driven, and aligned with project and system architecture. This role provides essential support for system design and technical specification creation, data setup, testing, and decision‑making throughout the Software Development Life Cycle (SDLC). The analyst leverages deep SQL expertise, an understanding of healthcare concepts, familiarity with Data Element Dictionaries (DEDs), and knowledge of Medicaid pharmacy claims processing, NDC‑based pricing, DUR edits, prior authorization workflows, and pharmacy benefit rules.

Understand business requirements at a detailed level and translate them into technical specifications and data models, including pharmacy claims adjudication logic, pricing methodologies, DUR edits, and PA workflows.

Support business analysts with insight into how system data and integrations meet operational and policy needs, including pharmacy benefit rules and pharmacy claims data structures.

Responsibilities

• Use advanced SQL skills to extract, analyze, and validate data to support solutioning, testing, and quality assurance, including pharmacy claims data elements such as NDCs, quantities, units, pricing fields, and DUR indicators.
• Interpret and utilize Data Element Dictionaries (DEDs) to understand data structures and relationships across modules, including pharmacy‑specific data dictionaries.
• Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces, including NCPDP pharmacy interfaces and pharmacy PA systems.
• Serve as a liaison between business users, developers, QA, and configuration teams to ensure shared understanding of requirements, including pharmacy‑specific rules and adjudication logic.
• Document and communicate technical decisions, risks, and impacts clearly and concisely to stakeholders, including pharmacy program impacts.
• Develop detailed technical solution models and recommend scalable approaches that align with enterprise architecture and platform capabilities, including pharmacy claims and pharmacy benefit configurations.
• Mentor junior technical analysts on data standards, SQL best practices, and documentation expectations, including pharmacy claims data structures and pricing logic.
• Provide analytical support during defect resolution, system configuration validation, and pre‑deployment quality checks, including pharmacy claims adjudication and DUR logic validation.

Requirements

• 3–5 years of experience in a technical analyst, data analyst, or healthcare systems analyst role.
• Advanced SQL skills, including experience with joins, data transformations, and large dataset manipulation, including pharmacy claims datasets.
• Strong understanding of healthcare systems and Medicaid concepts, including Medicaid pharmacy claims processing, NDC‑based pricing, DUR edits, prior authorization workflows, and pharmacy benefit rules.
• Familiarity with Data Element Dictionaries (DEDs), interface specifications, and integration design, including pharmacy‑related interfaces such as NCPDP.
• Experience working in SDLC and Agile environments preferred.
• Understanding of system implementation in cloud platforms (AWS/Azure/Google Cloud) is a plus.

Location & Remote Working

Fully Remote Opportunity – Work from anywhere in the U.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

Application Deadline

The deadline to submit applications for this posting is October 27, 2026.

Salary

The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Benefits & Perks

• generous, flexible vacation policy
• educational assistance
• comprehensive leadership and technical development academies
• 401(k) employer match
• comprehensive health benefits
• variety of leadership and technical development academies

Equal Opportunity Statement

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.