We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership ensuring high-quality delivery across complex healthcare platforms.
Key Responsibilities
- Lead end-to-end QA activities for RxCLAIM-based applications including test strategy planning execution and defect management
- Act as the QA point of contact for PBM/RxCLAIM initiatives collaborating closely with business analysts developers and product owners
- Define and enforce QA processes standards and best practices across projects
- Review and validate business requirements functional specifications and technical designs from a QA perspective
- Design and oversee test scenarios test cases and test data covering eligibility claims adjudication pricing formularies benefits accumulators and prior authorization
- Lead and mentor QA analysts providing guidance on RxCLAIM workflows and testing techniques
- Coordinate SIT UAT and regression testing including support for business and client UAT cycles
- Ensure compliance with healthcare regulations and industry standards (HIPAA CMS etc.)
- Track test execution metrics defect trends and quality KPIs; report status to stakeholders
- Support automation initiatives by identifying regression candidates and working with automation teams
- Participate in release planning production validation and post-release defect analysis
Qualifications :
- 8 years of experience in QA/testing with at least 34 years in a QA Lead role
- Strong hands-on experience with RxCLAIM (claims processing plan setup pricing benefits accumulators DUR PA)
- Solid understanding of PBM and pharmacy domain concepts
- Strong knowledge of test management and defect tracking tools (e.g. ALM Jira Zephyr qTest)
- Excellent analytical problem-solving and communication skills
- Proven experience leading teams and coordinating with cross-functional stakeholders
Preferred Qualifications
- Experience with test automation tools and frameworks
- Exposure to other PBM platforms (e.g. QNXT Facets ICD)
- Experience working in Agile/Scrum environments
- ISTQB or similar QA certification
Additional Information :
Discover some of the global benefits that empower our people to become the best version of themselves:
- Finance: Competitive salary package share plan company performance bonuses value-based recognition awards referral bonus;
- Career Development: Career coaching global career opportunities non-linear career paths internal development programmes for management and technical leadership;
- Learning Opportunities: Complex projects rotations internal tech communities training certifications coaching online learning platforms subscriptions pass-it-on sessions workshops conferences;
- Work-Life Balance: Hybrid work and flexible working hours employee assistance programme;
- Health: Global internal wellbeing programme access to wellbeing apps;
- Community: Global internal tech communities hobby clubs and interest groups inclusion and diversity programmes events and celebrations.
Additional Employee Requirements
- Participation in both internal meetings and external meetings via video calls as necessary.
- Ability to go into corporate or client offices to work onsite as necessary.
- Prolonged periods of remaining stationary at a desk and working on a computer as necessary.
- Ability to bend kneel crouch and reach overhead as necessary.
- Hand-eye coordination necessary to operate computers and various pieces of office equipment as necessary.
- Vision abilities including close vision toleration of fluorescent lighting and adjusting focus as necessary.
- For positions that require business travel and/or event attendance ability to lift 25 lbs as necessary.
- For positions that require business travel and/or event attendance a valid drivers license and acceptable driving record are required as driving is an essential job function.
*If requested reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs absent undue hardship.
USA Benefits (Full time roles only does not apply to contractor positions)
- Robust healthcare and benefits including Medical Dental vision Disability coverage and various other benefit options
- Flexible Spending Accounts (Medical Transit and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with our low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match with immediately vest
At Endava were committed to creating an open inclusive and respectful environment where everyone feels safe valued and empowered to be their best. We welcome applications from people of all backgrounds experiences and perspectivesbecause we know that inclusive teams help us deliver smarter more innovative solutions for our customers. Hiring decisions are based on merit skills qualifications and potential. If you need adjustments or support during the recruitment process please let us know.
Remote Work :
Yes
Employment Type :
Contract
We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership ensuring high-quality delivery acros...
We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership ensuring high-quality delivery across complex healthcare platforms.
Key Responsibilities
- Lead end-to-end QA activities for RxCLAIM-based applications including test strategy planning execution and defect management
- Act as the QA point of contact for PBM/RxCLAIM initiatives collaborating closely with business analysts developers and product owners
- Define and enforce QA processes standards and best practices across projects
- Review and validate business requirements functional specifications and technical designs from a QA perspective
- Design and oversee test scenarios test cases and test data covering eligibility claims adjudication pricing formularies benefits accumulators and prior authorization
- Lead and mentor QA analysts providing guidance on RxCLAIM workflows and testing techniques
- Coordinate SIT UAT and regression testing including support for business and client UAT cycles
- Ensure compliance with healthcare regulations and industry standards (HIPAA CMS etc.)
- Track test execution metrics defect trends and quality KPIs; report status to stakeholders
- Support automation initiatives by identifying regression candidates and working with automation teams
- Participate in release planning production validation and post-release defect analysis
Qualifications :
- 8 years of experience in QA/testing with at least 34 years in a QA Lead role
- Strong hands-on experience with RxCLAIM (claims processing plan setup pricing benefits accumulators DUR PA)
- Solid understanding of PBM and pharmacy domain concepts
- Strong knowledge of test management and defect tracking tools (e.g. ALM Jira Zephyr qTest)
- Excellent analytical problem-solving and communication skills
- Proven experience leading teams and coordinating with cross-functional stakeholders
Preferred Qualifications
- Experience with test automation tools and frameworks
- Exposure to other PBM platforms (e.g. QNXT Facets ICD)
- Experience working in Agile/Scrum environments
- ISTQB or similar QA certification
Additional Information :
Discover some of the global benefits that empower our people to become the best version of themselves:
- Finance: Competitive salary package share plan company performance bonuses value-based recognition awards referral bonus;
- Career Development: Career coaching global career opportunities non-linear career paths internal development programmes for management and technical leadership;
- Learning Opportunities: Complex projects rotations internal tech communities training certifications coaching online learning platforms subscriptions pass-it-on sessions workshops conferences;
- Work-Life Balance: Hybrid work and flexible working hours employee assistance programme;
- Health: Global internal wellbeing programme access to wellbeing apps;
- Community: Global internal tech communities hobby clubs and interest groups inclusion and diversity programmes events and celebrations.
Additional Employee Requirements
- Participation in both internal meetings and external meetings via video calls as necessary.
- Ability to go into corporate or client offices to work onsite as necessary.
- Prolonged periods of remaining stationary at a desk and working on a computer as necessary.
- Ability to bend kneel crouch and reach overhead as necessary.
- Hand-eye coordination necessary to operate computers and various pieces of office equipment as necessary.
- Vision abilities including close vision toleration of fluorescent lighting and adjusting focus as necessary.
- For positions that require business travel and/or event attendance ability to lift 25 lbs as necessary.
- For positions that require business travel and/or event attendance a valid drivers license and acceptable driving record are required as driving is an essential job function.
*If requested reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs absent undue hardship.
USA Benefits (Full time roles only does not apply to contractor positions)
- Robust healthcare and benefits including Medical Dental vision Disability coverage and various other benefit options
- Flexible Spending Accounts (Medical Transit and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with our low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match with immediately vest
At Endava were committed to creating an open inclusive and respectful environment where everyone feels safe valued and empowered to be their best. We welcome applications from people of all backgrounds experiences and perspectivesbecause we know that inclusive teams help us deliver smarter more innovative solutions for our customers. Hiring decisions are based on merit skills qualifications and potential. If you need adjustments or support during the recruitment process please let us know.
Remote Work :
Yes
Employment Type :
Contract
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