Jobs → QA & Testing → QA Manager

About the Role We are looking for an experienced QA Manager to lead quality engineering initiatives for enterprise-level Pharmacy Benefit Management (PBM) platforms. This role requires a strong combination of hands-on testing expertise, QA leadership, process optimization, and deep understanding of pharmacy claims adjudication. Key Responsibilities • Lead and mentor QA teams supporting complex PBM applications and claims processing platforms • Establish standardized QA processes, testing methodologies, and quality engineering best practices • Drive defect prevention, root cause analysis, and continuous quality improvement initiatives • Drive end-to-end testing of PBM claims adjudication and pharmacy benefit workflows • Validate eligibility, formulary, prior authorization, drug pricing, accumulators, COB, claims reversals, rejects, and payment processing • Collaborate with business, product, compliance, and technology teams to ensure business and regulatory alignment • Define and monitor quality KPIs, including defect density, defect leakage, test coverage, automation coverage, and release readiness • Build quality dashboards and executive-level status reports • Lead QA activities across Agile sprints, releases, and production deployments • Develop test strategies, test plans, scenarios, and effort estimates • Oversee functional, integration, regression, API, UAT, performance, and automation testing Requirements • 15+ years of overall Software QA / Quality Engineering experience • 5+ years of QA Management or Leadership experience • Strong hands-on experience with PBM claims processing systems • Deep understanding of claims adjudication and pharmacy benefit workflows • Proven experience managing QA teams and defining quality metrics • Strong knowledge of SDLC, Agile, test strategy, risk-based testing, and release management