Test Engineer
Maryam FatimaRemoteMIDPosted 12d ago
SQLNCPDP D.0NCPDP F6PBMpharmacy claimsSITUATParallel testingregression testingtrading partner testingrelease testingproduction validationpost-implementation defect triage
About the Role
We are looking for a Test Engineer with strong pharmacy claims and PBM testing experience to support an NCPDP D.0 to F6 implementation. This role is responsible for validating transaction changes, claim adjudication outcomes, and various pharmacy-related scenarios.
Key Responsibilities
• Validate transaction changes, claim adjudication outcomes, eligibility and coordination of benefits scenarios
• Test reject messaging, payer sheet impacts, data mapping, and regression coverage
• Ensure production readiness and post-implementation defect triage
• Collaborate with PBM SMEs, BA, development, and business teams
Requirements
• Minimum of 7 years of Quality Assurance or software testing experience, preferably in healthcare, PBM or pharmacy claims environments
• Hands-on experience testing pharmacy claims, claim adjudication, eligibility, benefits, pricing, accumulators, reject codes, and claim response messaging
• Working knowledge of NCPDP Telecommunication Standard Version D.0; exposure to Version F6 implementation or standards migration is strongly preferred
• Experience creating test plans, test cases, test scripts, test estimates, test data, and traceability matrices
• Strong understanding of SDLC methodologies, including Agile, Scrum, Waterfall, Iterative, or hybrid delivery models
• Solid SQL experience for backend validation, data reconciliation, and claims data analysis
• Experience with defect management, test execution tracking, QA reporting, and release validation
• Ability to interpret transaction layouts, payer sheets, field-level requirements, business rules, and technical mapping documents
• Strong analytical, troubleshooting, organizational, documentation, and problem-solving skills
• Effective written and verbal communication skills with the ability to explain testing results, defects, and implementation risks to technical and business audiences
• Ability to work independently and collaboratively in a fast-paced implementation environment