Sr QA Test Engineer

About the Role

This position focuses on testing within the Pharmacy Claims and Pharmacy Benefit Management (PBM) domain, specifically involving NCPDP D.0 and F6 standards, as well as migration validation. The role encompasses a broad range of testing activities to ensure accurate claim adjudication, eligibility, coordination of benefits (COB), pricing, and reject messaging.

Responsibilities

• Develop test planning, test cases, test scripts, and traceability matrices.
• Create and manage test data for functional, system integration (SIT), user acceptance (UAT), regression, integration, end-to-end (E2E), parallel, release, and production validation testing.
• Perform SQL and 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

• Proficiency in NCPDP D.0 and F6 standards.
• Experience with claim adjudication, eligibility, COB, pricing, and reject messaging systems.
• Strong SQL and backend data validation skills.
• Knowledge of test planning, test case development, and traceability.
• Familiarity with Agile/Scrum, Waterfall, and cross-functional collaboration.
• Experience with AI tools for test automation.