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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

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