Pharmacy Test Manager

Gainwell Technologies

Pharmacy Test Manager ensuring quality delivery of PBM and Medicaid pharmacy solutions at Gainwell. Leading testing operations while managing deadlines, quality metrics, and stakeholder communication.

Posted 7/21/2026full-timeRemote • Idaho, Louisiana • 🇺🇸 United StatesSeniorLead💰 $85,000 - $121,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive expertise in pharmacy testing, including Claims Adjudication, NCPDP Transactions, and Drug Rebate Processing, while effectively managing test strategies and stakeholder communications to ensure compliance with CMS guidelines and state Medicaid regulations.

Highest-signal resume keywords

10+ Years Of Software Testing Experience5+ Years Of Test Management ExperienceStrong PBM Or Medicaid Pharmacy ExperienceExpertise In Claims AdjudicationExperience Using ALM/JIRA And SQL

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Test ManagementPharmacy Functional ValidationClaims AdjudicationNCPDP TransactionsPrior AuthorizationFormulary ManagementDrug Rebate ProcessingPharmacy Financial ValidationData ValidationQuality Metrics Tracking

Soft Skills

LeadershipCommunicationStakeholder Management

Tools & Technologies

ALMJIRASQL

Industry Keywords

PBM SolutionsMedicaid RegulationsSITUATRegression TestingParallel TestingProduction ValidationDefect ManagementCross-Functional CoordinationTesting Governance

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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