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. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
Summary - As a Senior Professional Application Designer at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. This role is involved in the development of the product and involves access to Protected Health Information (PHI) & Personally Identifiable Information (PII) and possibly secured/confidential client data.
Your role in our mission - Work with clinical business analytics advisor to develop criteria for rules called by pharmacy claims processing to determine if the member meets the criteria for the drug to be paid. This includes configuration in the system, testing, documentation, and implementation.
- Configuration, testing, debugging, implementing, and documenting rules called by claims processing that determine if a drug meets criteria to be paid. Assists in the modification of company products to meet business needs.
- Gathers information from the system, analyses program and time requirements, and prepares documentation to change existing rules.
- Recommends specific product configurations to assist with overall system design and integration.
- Configures, implements, and provides complex product support activities to meet business needs.
- Develop comprehensive test plans to verify rules, conduct peer reviews, and execute regression testing strategies.
- Ability to work and thrive in a fast-paced environment, learn rapidly and master diverse web technologies and techniques.
- Ability to work creatively and analytically in a problem-solving environment.
- Create and maintain high-quality technical documentation, including rule criteria documents, and testing summaries.
- Exposure to Cloud-based technologies like Azure / AWS
- Knowledge of US healthcare is a plus.
What we're looking for - 6+ years of Database Development experience to include:
- 4+ years of data warehouse
- 2+ years of designing, implementing and supporting interfaces
- Advanced data analytics and SQL
- Advanced testing tools and unit test scripting, and testing methodologies.
- Medicaid, HIPAA and PHI
- Healthcare IT Systems, Medicaid Claims Processing
- Visio, Excel, Word
What you should expect in this role -
- Fully Remote Opportunity - Work from anywhere in the U.S.
- Minimal Travel Required - Occasional travel opportunities (0-10%).
- 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 June 30, 2026
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The pay range for this position is $64,700.00 - $92,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
