Test Lead, Manual Test, US Healthcare, Medicaid, Pharmacy

Gainwell Technologies

Test Lead (Manual Test) supporting application development for healthcare at Gainwell. Involves analysis, testing processes, and requirement gathering for Medicaid pharmacy operations.

Posted 6/10/2026full-timeRemote • 🇮🇳 IndiaSeniorWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

testingtroubleshootinganalysistest processestest casesSQLEDI transactionsdata validationMedicaid pharmacy operationspharmacy claims processing

Soft Skills

collaborationcommunicationrequirement gatheringproblem-solvingteamworkproposal writingestimation

Tools & Technologies

test management toolsMMISMES systemsPBM functionsGainwellConduentOptumMagellan

Industry Keywords

NDCHCPCSdrug pricing methodologiesMedicaid PDLclinical PA criteriaDUR requirementspharmacy benefit administrationreimbursement models

Tech Stack

Tools & technologies

SQL

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