Sr QA Test Engineer

Location: Florham Park, NJ (Remote)

Duration: 1 year

About the Role

This role focuses on testing within the Pharmacy Claims and PBM (Pharmacy Benefit Management) domain, including NCPDP D.0 and F6 standards, migration validation, and various aspects of claim adjudication, eligibility, coordination of benefits (COB), pricing, and reject messaging.

Responsibilities

• Develop test planning, test cases, test scripts, traceability matrices, and test data.
• Perform functional, system integration (SIT), user acceptance (UAT), regression, integration, end-to-end (E2E), parallel, release, and production validation testing.
• Conduct SQL-based backend data validation, reconciliation, and claims data analysis.
• Analyze payer sheets, field mapping, business rules, and transaction specifications.
• Manage defect tracking, retesting, QA reporting, and release readiness assessments.
• Collaborate across functions within SDLC frameworks, including Agile/Scrum and Waterfall methodologies.
• Utilize AI tools for test automation.

Skills

• Pharmacy Claims & PBM Domain Testing
• NCPDP D.0 / F6 Standards & Migration Validation
• Claim Adjudication, Eligibility, COB, Pricing & Reject Messaging
• SQL, Backend Data Validation, Reconciliation & Claims Data Analysis
• Test Planning, Test Cases, Test Scripts, Traceability & Test Data
• Defect Management, Retesting, QA Reporting & Release Readiness
• SDLC, Agile/Scrum/Waterfall & Cross-functional Collaboration
• AI Tools for Test Automation