QA With Medicaid & PBM - Remote

- Minimum of 8 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.
- Bachelor's degree is preferred. Equivalent industry experience may be considered.