Domain Testing Program Manager – PBMMedicaid
Job Location:
Monthly Salary:
Posted on:
Yesterday
Posted on:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
Job Title: Domain Testing / Program Manager PBM/Medicaid
Location: Plano TX
Experience Required
10 Years
Job Summary
We are seeking an experienced Domain Testing / Program Manager with strong expertise in Pharmacy Benefit Management (PBM) and Medicaid systems. The ideal candidate will lead end-to-end testing programs quality assurance initiatives release management activities and stakeholder coordination across complex healthcare transformation projects.
Key Responsibilities
Lead domain testing activities for PBM/Medicaid applications and enterprise systems.
Manage test planning scope validation resource coordination and execution oversight.
Develop and maintain test strategies test plans estimates schedules and entry/exit criteria.
Ensure quality governance through defect triage risk assessment issue resolution and reporting.
Coordinate release readiness activities and support deployment planning.
Collaborate with business stakeholders product owners development teams and vendors to ensure successful delivery.
Review business requirements maintain Requirement Traceability Matrix (RTM) and ensure complete test coverage.
Guide test design test execution data readiness evidence collection and reporting activities.
Lead defect management processes including triage root cause analysis (RCA) retesting aging reviews and defect closure.
Drive continuous improvement initiatives in testing processes and quality assurance practices.
Support implementation and adoption of AI-driven testing solutions and automation strategies.
Required Domain Expertise
Strong experience in PBM (Pharmacy Benefit Management) modules including:
Member Eligibility
Benefit Plan Configuration
Formulary Management
Pharmacy POS Claims Processing
Claims Adjudication
Prior Authorization
Utilization Management
Pricing and Reimbursement
Accumulators
Pharmacy Networks
Payment & Settlement
Reporting and Analytics
Required Skills
PBM/Medicaid domain expertise
Test Management and QA Leadership
Program/Project Management
Defect Management & Root Cause Analysis
Release Management
Stakeholder Management
Requirement Analysis and RTM Management
Test Planning and Estimation
Risk and Issue Management
AI-Driven Testing Tools and Methodologies
Preferred Qualifications
Experience working with Healthcare Medicaid or Managed Care organizations.
Knowledge of Agile/Scrum and Waterfall methodologies.
Experience with test management tools such as JIRA ALM Azure DevOps or similar.
Strong communication and leadership skills.
Certifications in PMP Scrum ISTQB or Healthcare domain are a plus.
Education
Bachelors degree in Computer Science Information Technology Healthcare Informatics or related field.
This role requires a blend of healthcare domain expertise testing leadership and program management capabilities to successfully deliver high-quality PBM/Medicaid solutions.
Location: Plano TX
Experience Required
10 Years
Job Summary
We are seeking an experienced Domain Testing / Program Manager with strong expertise in Pharmacy Benefit Management (PBM) and Medicaid systems. The ideal candidate will lead end-to-end testing programs quality assurance initiatives release management activities and stakeholder coordination across complex healthcare transformation projects.
Key Responsibilities
Lead domain testing activities for PBM/Medicaid applications and enterprise systems.
Manage test planning scope validation resource coordination and execution oversight.
Develop and maintain test strategies test plans estimates schedules and entry/exit criteria.
Ensure quality governance through defect triage risk assessment issue resolution and reporting.
Coordinate release readiness activities and support deployment planning.
Collaborate with business stakeholders product owners development teams and vendors to ensure successful delivery.
Review business requirements maintain Requirement Traceability Matrix (RTM) and ensure complete test coverage.
Guide test design test execution data readiness evidence collection and reporting activities.
Lead defect management processes including triage root cause analysis (RCA) retesting aging reviews and defect closure.
Drive continuous improvement initiatives in testing processes and quality assurance practices.
Support implementation and adoption of AI-driven testing solutions and automation strategies.
Required Domain Expertise
Strong experience in PBM (Pharmacy Benefit Management) modules including:
Member Eligibility
Benefit Plan Configuration
Formulary Management
Pharmacy POS Claims Processing
Claims Adjudication
Prior Authorization
Utilization Management
Pricing and Reimbursement
Accumulators
Pharmacy Networks
Payment & Settlement
Reporting and Analytics
Required Skills
PBM/Medicaid domain expertise
Test Management and QA Leadership
Program/Project Management
Defect Management & Root Cause Analysis
Release Management
Stakeholder Management
Requirement Analysis and RTM Management
Test Planning and Estimation
Risk and Issue Management
AI-Driven Testing Tools and Methodologies
Preferred Qualifications
Experience working with Healthcare Medicaid or Managed Care organizations.
Knowledge of Agile/Scrum and Waterfall methodologies.
Experience with test management tools such as JIRA ALM Azure DevOps or similar.
Strong communication and leadership skills.
Certifications in PMP Scrum ISTQB or Healthcare domain are a plus.
Education
Bachelors degree in Computer Science Information Technology Healthcare Informatics or related field.
This role requires a blend of healthcare domain expertise testing leadership and program management capabilities to successfully deliver high-quality PBM/Medicaid solutions.
