QA Lead

Role Overview

• 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

Requirements

• 8+ years of experience in QA/testing, with at least 3–4 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
• 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

Benefits

• Competitive salary package, share plan, company performance bonuses, value-based recognition awards, referral bonus
• Career coaching, global career opportunities, non-linear career paths, internal development programmes for management and technical leadership
• Complex projects, rotations, internal tech communities, training, certifications, coaching, online learning platforms subscriptions, pass-it-on sessions, workshops, conferences
• Hybrid work and flexible working hours, employee assistance programme
• Global internal wellbeing programme, access to wellbeing apps
• Global internal tech communities, hobby clubs and interest groups, inclusion and diversity programmes, events and celebrations