Job Description

Summary

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As a Principal Product 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. Here are the details on this position.

Your role in our mission

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Data & Technical Analysis :

Develop, implement, and maintain applications using .NET technologies and SQL to support PBM processes.


Translate business and technical requirements into actionable solutions, ensuring alignment with system architecture and best practices

Project Solutioning :

Provide expertise in Medicaid projects, defining technical requirements, system workflows, and implementation strategies.


Assist in the design, development, and implementation of PBM and MMIS-related systems, ensuring data integrity and optimal application performance throughout the lifecycle.


Collaborate with cross-functional teams to optimize PBM and MMIS processes and recommend improvements.

SQL Server & .NET Development :

Design and optimize SQL queries, stored procedures, and database schemas for enhanced application performance.


Utilize .NET technologies (C#, ASP.NET, .NET Core) to develop enterprise-level applications.


Work with development teams to implement coding standards, conduct code reviews, and optimize logic across applications.

System & Process Improvement:

Identify opportunities for process and system optimizations, recommending strategies to enhance quality, system performance, and operational efficiency.


Drive automation efforts to minimize manual processes and improve workflow efficiency.

Cloud-based PBM Leadership & Governance (optional) :

Lead large-scale cloud migrations for legacy PBM systems and Drive cost optimization and FinOps for cloud efficiency

What we're looking for

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Education:

Bachelor's degree in Computer Science, Information Systems, Data Analytics, or a related field (Master's degree preferred)

Experience:

8-10 years of professional experience in data analysis and/or technical analysis, with at least 5 years in an MMIS environment.


Hands-on experience with QNXT or similar healthcare claims/encounter management systems.


Experience with .NET technologies (C#, ASP.NET, .NET Core) and SQL development is highly desirable.


Strong knowledge of pharmacy claims processing, formulary management, drug pricing, and benefit designs.

Technical Skills:

Proficiency in SQL Server, including performance tuning, query optimization, and stored procedure development.


Strong experience in .NET framework (C#, ASP.NET, .NET Core).


Experience with data integration, ETL processes, and web services/APIs.

Healthcare Knowledge (optional):

Solid understanding of Medicaid, Medicare, or other healthcare program management.


Functional knowledge of Member, Provider, Claims, and related system workflows.

Leadership & Soft Skills:

Proven ability to lead and mentor cross-functional teams.


Strong communication skills, with the ability to convey complex technical concepts to non-technical stakeholders.


Excellent problem-solving skills, attention to detail, and a commitment to high-quality solutions.

What you should expect in this role

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Work Environment : Remote


Shift Timings : 2PM to 11PM IST