Senior Medicaid Pharmacy Systems Developer

🕒 October 1

🇺🇸 United States – Remote

💵 $72.8k - $104k / year

⏰ Full Time

🟠 Senior

⚙️ Systems Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• Lead and participate in the full software development lifecycle for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support • Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable technical solutions • Design, develop, and maintain complex application code for accurate and efficient processing of pharmacy claim transactions compliant with NCPDP F6 standards • Lead modifications to application modules for updated NCPDP field definitions, segment structures, transaction rules, and state-specific business requirements • Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, layouts, data transformations, and backend integration points • Develop and maintain technical documentation, including solution designs, data mappings, interface specifications, code documentation, and system design artifacts • Provide technical guidance, conduct code reviews, and support less-experienced developers • Lead technical support for unit testing, integration testing, user acceptance testing, defect resolution, deployment, and production stabilization

🎯 Requirements

• 6 or more years of programming or testing experience with relevant programming languages, relational databases, operating systems, and software • 5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems • Strong hands-on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements • Advanced proficiency in one or more programming languages such as Java, C#, or COBOL • Experience with EDI processing, pharmacy claims, and Medicaid Management Information Systems (MMIS) • Strong experience with SQL, XML, data transformation tools, system interfaces, and troubleshooting complex data-processing issues • Excellent analytical, technical design, debugging, documentation, collaboration, and communication skills • Video cameras must be used during interviews and the initial week of orientation

🏖️ Benefits

• Work flexibility • Learning and career development opportunities • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • 401(k) employer match • Comprehensive health benefits • Occasional travel opportunities