Gainwell Technologies
10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
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.
Test Lead – Manual Testing, US Healthcare, Medicaid/Pharmacy
🔥 5 minutes ago
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Gainwell Technologies
10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
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
• Support creating purpose-built solutions and technologies that help us deliver valuable health outcomes. • Perform vital testing, troubleshooting, and analysis of application software for complex technical projects. • Design, develop, implement, maintain and monitor critical test processes. • Gather requirements for testing, develop executable test cases, and help distribute workload across a team of test engineers. • Coordinate and collaborate with others to analyze requirements to confirm, establish and communicate the defect-causing problem to the right stakeholders. • Assist, as needed, in writing proposals to recommend process and programs. • Prepare estimates for performing the various activities defined in the test plan.
🎯 Requirements
• 14+ years of overall experience with 5+ years specifically in Medicaid pharmacy operations, MMIS/MES systems, PBM functions, or pharmacy claims processing. • Strong understanding of NDC, HCPCS, quantity limits, and drug pricing methodologies. • Strong understanding of Medicaid PDL, clinical PA criteria, DUR requirements. • Strong understanding of Pharmacy benefit administration and reimbursement models. • Hands‑on experience with EDI transactions (837, 835, 278). • Experience with test management tools and SQL for data validation. • Familiarity with Gainwell, Conduent, Optum, Magellan, or other Medicaid pharmacy modules.
🏖️ Benefits
• Exceptional developmental opportunities
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