QA Manager
Aanchal ..RemoteSENIORPosted 10d ago
QAPBMPharmacy claims processingPharmacy claims adjudicationAgileAutomation testingAPI testingSQLCI/CD
About the Role
We are looking for a QA Manager with extensive experience in Pharmacy Benefit Management to lead QA teams and ensure quality delivery for pharmacy claims processing.
Key Responsibilities
• Lead QA teams for PBM platforms and pharmacy claims processing
• Validate end-to-end pharmacy claims adjudication, including eligibility, formulary, prior authorization, pricing, COB, reversals, and rejections
• Drive functional, integration, regression, UAT, API, and automation testing
• Define QA metrics, dashboards, defect tracking, test coverage, and release readiness
• Collaborate with business, development, and product teams to ensure quality delivery
• Support Agile processes, risk-based testing, release management, and compliance requirements
Requirements
• 15+ years of QA/testing experience
• 5+ years of QA leadership or management experience
• Strong hands-on experience in PBM (Pharmacy Benefit Management) and pharmacy claims adjudication
• Strong knowledge of SDLC, Agile, test strategy, and defect management
• Experience with automation testing, API testing, SQL, and CI/CD