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Test Lead, Manual Test, US Healthcare, Medicaid, Pharmacy
Gainwell TechnologiesTest Lead (Manual Test) supporting application development for healthcare at Gainwell. Involves analysis, testing processes, and requirement gathering for Medicaid pharmacy operations.
Tech Stack
Tools & technologiesSQL
About the role
Key responsibilities & impact- 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
- Help prepare estimates for performing the various activities defined in the test plan
Requirements
What you’ll need- 15+ years of overall experience
- 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
Comp & perks- Flexible work arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
testingtroubleshootinganalysistest processestest casesSQLEDI transactionsdata validationMedicaid pharmacy operationspharmacy claims processing
Soft Skills
collaborationcommunicationrequirement gatheringproblem-solvingteamworkproposal writingestimation