Senior Manager, Pharmacy Systems Quality and Testing

🕒 May 7

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Gainwell Technologies

10,000+ employees

⚕ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance ‱ Human Services ‱ Healthcare

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

‱ Manages functional areas or department account leads on large accounts to ensure that business solution objectives are met. ‱ Identifies and manages the implementation of process improvements. ‱ Manages and develops demand forecasts with account teams on large accounts to assist functional areas or departments in planning and delivering end-to-end services. ‱ Identifies issues and recommends alternative approaches. ‱ Works with functional areas or departments to interpret and plan projects or workload forecasts. ‱ Provides advice and counsel regarding various results. ‱ Prepares, recommends and oversees development of operating and personnel budgets. ‱ Monitors spending for adherence to budget plans, develops and recommends variances. ‱ Performs and/or oversees budget analysis. ‱ Manages and approves expenditures for accounts in line with established policies and procedures. ‱ Manages complex relationships between delivery and consumer groups to ensure good client relations. ‱ Resolves issues and determines and implements appropriate course of action. ‱ Identifies and manages service improvements to increase customer satisfaction. ‱ Manages and ensures delivery of projects meet client and company expectations and needs. ‱ Partners with functional areas or departments to integrate new, enhanced and existing service offerings for accounts. ‱ Participates in developing new business proposals and introduces new technology to enhance business solutions. ‱ Selects and hires employees. ‱ Trains and evaluates employees to enhance their performance, development, and work product. ‱ Addresses performance issues and makes recommendations for personnel actions. ‱ Motivates and rewards employees including providing salary increases, bonuses and promotions within allocated budgets and company guidelines.

🎯 Requirements

‱ 13 or more years of Leading end to end pharmacy testing strategy and execution across SIT, UAT, Parallel, regression and automation for large scale Medicaid PBM implementations. ‱ Own quality outcomes for pharmacy solutions, including claims (NCPDP D.0/F6), PDLs, DUR, rebates, encounters, and financial cycles. ‱ Provide senior level oversight of multi vendor, onshore/offshore testing teams, driving clear accountability, defect ownership, and delivery excellence. ‱ Partner closely with Product, Business, State to validate requirements, ensure regulatory compliance, and support production ready outcomes. ‱ Establish and report testing KPIs, quality metrics, and executive dashboards; proactively identify risks, dependencies, and mitigation plans.

đŸ–ïž Benefits

‱ generous, flexible vacation policy ‱ educational assistance ‱ comprehensive health benefits ‱ leadership and technical development academies

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