Gainwell Technologies

Test Lead

Gainwell Technologies  •  Bengaluru, IN (Onsite)  •  16 days ago
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Job Description

As a Test Lead (Manual Test, US Healthcare & Medicaid/Pharmacy) at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. Most importantly, you’ll have the chance to grow and develop as a professional through our exceptional developmental opportunities. This role is strictly involved in the testing of the product and does not involve access to Protected Health Information (PHI) & Personally Identifiable Information (PII) or any secured/confidential client data. The work is limited to application testing and does not include handling or processing of sensitive health information.

Your role in our mission

Show that you’re a real pro as you support creating purpose-built solutions and technologies that help us deliver valuable better health and human services 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
  • Do the math by helping prepare estimates for performing the various activities defined in the test plan

What we're looking for

  • 15+ 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.

What you should expect in this role

Remote

Gainwell Technologies

About Gainwell Technologies

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus.

Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies.

Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Industry
IT & Software
Company Size
10,000+ employees
Headquarters
United States
Year Founded
Unknown
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