Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past
Pharmacy System Testing Manager
Location
United States
Posted
47 days ago
Salary
$101.3K - $144.7K / year
Seniority
Lead
No structured requirement data.
Job Description
Pharmacy System Testing Manager
Gainwell Technologies
Role Description Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. This role provides senior leadership over pharmacy PBM quality and testing for large scale Medicaid implementations. The position owns end to end testing strategy and execution, ensuring reliable, compliant, and high quality pharmacy solutions. - 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. Qualifications - 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. Requirements - Remote position from US locations. - Opportunities to travel through your work (0-20%). - Willingness to work a flexible schedule to accommodate business needs and travel as required. - Video cameras must be used during all interviews, as well as during the initial week of orientation. - The deadline to submit applications for this posting is July 31, 2026. - The pay range for this position is $101,300.00 - $144,700.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Benefits - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - A variety of leadership and technical development academies to help build your skills and capabilities.
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Transitions of Care RN Case Manager
Devoted HealthDevoted Health was founded in 2017 to provide seniors with healthcare plans and personalized health guides using world-class technology. On a mission to make he
• Engaging with our newly discharged patients telephonically to understand their needs, supported by technology and data tools. • Conducting assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences. • Developing care plans in partnership with patients and their caregivers - problems, goals, interventions - while continuously evaluating the patient’s progress. • Explaining complicated medical terms in plain language. • Educating patients on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence. • Partnering with the TOC Nurse Practitioners and Physicians to ensure smooth handoffs, comprehensive follow-up, and coordinated care during the post-discharge period. • Referring patients to Devoted Medical when applicable and working closely on partnering for patient care. • Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our patients in meeting their goals. • Coordinating post-treatment care and DME needs. • Collaborating closely with our PCP partners, to coordinate care and deliver evidence based, effective, and accessible health care.
Case Manager, Personal Injury
DistroDistro is a marketplace to find, hire, and pay technical talent in over 200 countries. Join now for free.
• Serve as the primary point of contact for clients in both English and Spanish • Conduct client intake and gather detailed case information • Maintain regular communication with clients and provide case updates • Manage cases from intake through settlement or resolution • Request, track, and organize: Medical records Medical bills Police reports Other relevant case documentation • Communicate with medical providers, insurance companies, and third parties • Assist attorneys with case preparation and legal documentation • Maintain accurate, detailed case notes in the firm’s case management system • Monitor deadlines and follow up on outstanding items • Maintain well-organized digital case files and ensure data accuracy • Support a fast-paced legal environment while managing multiple active cases
• Support commercial transactions, including drafting and negotiating customer and vendor agreements, assisting with deal desk and contract review activities, and deal and contract structuring • Risk consultation and contracting review of various documents • Ongoing and post-execution risk management and contracting support • Work with cross-functional teams to build and enhance internal processes related to the contract lifecycle • Provide day to day contract guidance to ensure the company’s best interests are being maintained
• Define and implement a long-term growth strategy for Operation Sports. • Work with editorial teams to ensure high-quality coverage, including news, reviews, and in-depth features on sports video games. • Identify and execute monetization opportunities, including paid memberships, affiliate marketing, and partnerships. • Strengthen and grow the Operation Sports community, leveraging forums, social media, and new engagement tools. • Use analytics and SEO best practices to increase traffic and engagement across platforms. • Establish and maintain relationships with game developers, publishers, and esports organizations. • Oversee financial planning, resource allocation, and operational efficiency.




