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About the role
Key responsibilities & impact- Lead end-to-end QA activities for RxCLAIM-based applications, including test strategy, planning, execution, and defect management
- Act as the QA point of contact for PBM/RxCLAIM initiatives, collaborating closely with business analysts, developers, and product owners
- Define and enforce QA processes, standards, and best practices across projects
- Review and validate business requirements, functional specifications, and technical designs from a QA perspective
- Design and oversee test scenarios, test cases, and test data covering eligibility, claims adjudication, pricing, formularies, benefits, accumulators, and prior authorization
- Lead and mentor QA analysts, providing guidance on RxCLAIM workflows and testing techniques
- Coordinate SIT, UAT, and regression testing, including support for business and client UAT cycles
- Ensure compliance with healthcare regulations and industry standards (HIPAA, CMS, etc.)
- Track test execution metrics, defect trends, and quality KPIs; report status to stakeholders
- Support automation initiatives by identifying regression candidates and working with automation teams
- Participate in release planning, production validation, and post-release defect analysis
Requirements
What you’ll need- 8+ years of experience in QA/testing
- at least 3–4 years in a QA Lead role
- Strong hands-on experience with RxCLAIM (claims processing, plan setup, pricing, benefits, accumulators, DUR, PA)
- Solid understanding of PBM and pharmacy domain concepts
- Strong knowledge of test management and defect tracking tools (e.g., ALM, Jira, Zephyr, qTest)
- Excellent analytical, problem-solving, and communication skills
- Proven experience leading teams and coordinating with cross-functional stakeholders
- Preferred Qualifications: Experience with test automation tools and frameworks
- Exposure to other PBM platforms (e.g., QNXT, Facets, ICD)
- Experience working in Agile/Scrum environments
- ISTQB or similar QA certification
Benefits
Comp & perks- Competitive salary package
- share plan
- company performance bonuses
- value-based recognition awards
- referral bonus
- Career Development : Career coaching
- global career opportunities
- non-linear career paths
- internal development programmes for management and technical leadership
- Learning Opportunities: Complex projects
- rotations
- internal tech communities
- training
- certifications
- coaching
- online learning platforms subscriptions
- pass-it-on sessions
- workshops
- conferences
- Work-Life Balance: Hybrid work and flexible working hours
- employee assistance programme
- Health: Global internal wellbeing programme
- access to wellbeing apps
- Community: Global internal tech communities
- hobby clubs and interest groups
- inclusion and diversity programmes
- events and celebrations
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
QA activitiestest strategydefect managementtest scenariostest casestest datatest automationAgileScrumRxCLAIM
Soft Skills
analytical skillsproblem-solvingcommunicationleadershipmentoringcollaborationcoordinationguidancereportingvalidation
Certifications
ISTQB
