Senior Manager, Pharmacy Testing

Gainwell Technologies

. Lead the strategy, planning, governance, and execution of end-to-end pharmacy testing across Medicaid PBM implementations and production enhancements .

Posted 9/18/2026full-timeRemote • United StatesSenior💰 $140,000 - $160,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates extensive expertise in leading end-to-end testing strategies for Medicaid PBM implementations, with a strong focus on quality frameworks, testing methodologies, and compliance with Medicaid regulations. Proven ability to manage geographically distributed teams and drive continuous improvement in testing efficiency and client satisfaction.

Highest-signal resume keywords

End-To-End Testing StrategyPharmacy Operations ExpertiseSIT, UAT, Regression TestingMedicaid Regulations KnowledgeTesting Governance Models

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Testing MethodologiesQuality FrameworksAutomation TestingDefect ManagementTesting KPIsRisk AssessmentResource PlanningBudget ManagementClaims AdjudicationFinancial Reconciliation

Soft Skills

CollaborationInfluencingLeadership

Certifications & Qualifications

Bachelor's Degree

Industry Keywords

Medicaid PBMCMS RequirementsPharmacy ProgramsContinuous ImprovementExecutive Reporting

About the role

Key responsibilities & impact

Lead the strategy, planning, governance, and execution of end-to-end pharmacy testing across Medicaid PBM implementations and production enhancements
Establish testing standards, methodologies, tools, and quality frameworks for SIT, UAT, regression testing, automation, parallel testing, and production readiness
Partner with business, product, implementation, and state stakeholders to validate requirements and align with regulatory, contractual, and operational expectations
Oversee multi-vendor and onshore/offshore testing teams, including test execution, defect management, quality outcomes, and delivery timelines
Develop demand forecasts and resource plans for implementation schedules and operational priorities
Prepare, manage, and monitor operating and personnel budgets
Establish and report quality metrics, testing KPIs, defect trends, and executive dashboards
Identify, assess, and mitigate risks, dependencies, and quality issues
Drive continuous improvement in testing efficiency, automation adoption, quality outcomes, and client satisfaction
Support business development through pharmacy testing expertise, implementation strategies, and solution recommendations

Requirements

What you’ll need

13+ years of experience leading end-to-end testing strategy and execution for large-scale Medicaid PBM implementations
Deep expertise in pharmacy operations and PBM platforms, including claims adjudication (NCPDP D.0/F6), formularies/PDLs, DUR, rebates, encounters, prior authorization, and financial reconciliation processes
Proven experience leading SIT, UAT, regression, automation, parallel testing, and production readiness activities across complex healthcare technology environments
Demonstrated success managing large, geographically distributed testing teams, including vendor, onshore, and offshore resources
Strong knowledge of Medicaid regulations, CMS requirements, state-specific pharmacy programs, and compliance standards
Experience establishing testing governance models, quality frameworks, KPIs, executive reporting, and continuous improvement programs
Ability to influence and collaborate effectively with executive leadership, clients, state stakeholders, product teams, and delivery organizations
Bachelor's degree or equivalent combination of education and experience
Up to 10% travel required

Benefits

Comp & perks

Work flexibility
Learning and career development
Up to 10% travel required
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies