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QA Manager

Sri AlluRemoteSENIORPosted 1h ago
PBM applicationsclaims processingclaims adjudicationeligibilityformularyprior authorizationpricingCOBreversalspayment processingAgileSDLCtest strategyrelease managementQA metricsdashboardsdefect leakagetest coverageautomation coverageAPI testingSQLdata validationautomation frameworksCI/CDstakeholder managementteam leadership
About the Role We are looking for an experienced QA Manager with strong Pharmacy Benefit Management (PBM) domain expertise to lead quality engineering and testing initiatives. Key Responsibilities • Lead quality engineering and testing initiatives • Manage and oversee QA processes and methodologies • Ensure high-quality standards in software development and testing • Collaborate with cross-functional teams to define and implement testing strategies Requirements • 15+ years of Software QA experience • 5+ years of QA Leadership/Management experience • Strong hands-on experience with PBM applications and claims processing • Medicaid PBM claims processing experience is highly preferred • Expertise in claims adjudication, eligibility, formulary, prior authorization, pricing, COB, reversals, and payment processing • Strong experience in Agile, SDLC, test strategy, and release management • Experience defining QA metrics, dashboards, defect leakage, test coverage, and automation coverage • Hands-on knowledge of API testing, SQL, data validation, automation frameworks, and CI/CD • Strong stakeholder management and team leadership skills

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