Pharmacy Test Manager

🔥 1 minute ago

🥔 Idaho, Louisiana – Remote

🥔 Idaho – Remote ⚜️ Louisiana – Remote

💵 $85k - $121.4k / year

⏰ Full Time

🟠 Senior

🔴 Lead

💊 Pharmacist

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation to ensure quality delivery of PBM and Medicaid pharmacy solutions. • Develop and manage test strategy, plans, schedules, and execution governance, ensuring alignment with business requirements, CMS guidelines, and state Medicaid regulations. • Oversee pharmacy functional validation, including claims adjudication, drug pricing, formulary management, prior authorization, rebates, NCPDP transactions, and financial reconciliation processes. • Manage defects and cross-functional coordination among business SMEs, vendors, developers, conversion teams, and testing resources to ensure timely issue resolution and testing readiness. • Provide leadership reporting and stakeholder communication by tracking quality metrics, risks, issues, and test progress.

🎯 Requirements

• 10+ years of software testing experience • 5+ years of Test Management experience • Strong PBM or Medicaid pharmacy experience • Experience with large-scale DDI or MMIS modernization programs • Expertise in: Claims adjudication, NCPDP transactions, Prior Authorization, Formulary management, Drug Rebate processing, Pharmacy financial validation • Experience using ALM/JIRA and SQL for data validation • Strong leadership, communication, and stakeholder management skills.

🏖️ Benefits

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