QA Manager
Maryam FatimaRemoteMIDPosted 12d ago
PBM Claims ProcessingMedicaidSDLCAgileTest EstimationRisk-Based TestingRelease ManagementQuality MetricsDashboardsTeam Performance IndicatorsHealthcare ComplianceRegulatory RequirementsAudit ReadinessOperational ControlsTest Automation FrameworksCI/CD PipelinesAPI TestingSQLData Validation
About the Role
We are seeking an experienced and highly motivated QA Manager to lead quality engineering and testing initiatives for Pharmacy Benefit Management (PBM) platforms. The ideal candidate will bring a strong process orientation, an engineering mindset, hands-on testing depth, and proven experience managing QA teams using measurable quality and delivery metrics.
Key Responsibilities
• Lead quality engineering and testing initiatives for PBM platforms
• Manage QA teams using measurable quality and delivery metrics
• Support PBM claims processing systems
• Define and manage quality metrics, dashboards, and team performance indicators
• Ensure compliance with healthcare regulations and requirements
Requirements
• 15+ years of software quality assurance experience, including hands-on test design and execution
• 5+ years of QA leadership or management experience
• Strong experience supporting PBM claims processing systems
• Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management
• Ability to define and manage quality metrics, dashboards, and team performance indicators
• Strong analytical, communication, stakeholder management, and problem-solving skills
Preferred Qualifications
• Experience with Medicaid PBM programs
• Experience with healthcare payer, pharmacy, managed care, or government healthcare systems
• Knowledge of healthcare compliance, regulatory requirements, audit readiness, and operational controls
• Experience with test automation frameworks, CI/CD pipelines, API testing tools, SQL, and data validation techniques
• Experience leading geographically distributed or vendor-partner QA teams