Test Lead

Lead and mentor a team of QA analysts and test engineers.

Define test strategy, test plans, and quality assurance processes.

Estimate testing efforts and manage test execution schedules.

Coordinate testing activities across development, business, and stakeholder teams.

Track defects, risks, and quality metrics and provide regular status reports.

Review business requirements, user stories, and functional specifications.

Design and execute comprehensive test scenarios and test cases.

Validate PBM workflows, claims adjudication, benefit plans, and pharmacy transactions.

Perform end-to-end testing across integrated healthcare systems.

Test pharmacy claims lifecycle including: Claim adjudication Eligibility verification Drug utilization review (DUR) Formulary management Prior authorization Specialty pharmacy workflows Clinical programs Medicare Part D processes Rebate management

Claim adjudication

Eligibility verification

Drug utilization review (DUR)

Formulary management

Prior authorization

Specialty pharmacy workflows

Clinical programs

Medicare Part D processes

Rebate management

Validate NCPDP transaction standards and pharmacy data exchanges.

Log, prioritize, and track defects through closure.

Perform root cause analysis and support defect triage meetings.

Collaborate with development teams to resolve issues efficiently.

Identify automation opportunities and improve test coverage.

Review and support automation frameworks using Selenium, Playwright, Cypress, or equivalent tools.

Drive continuous improvement initiatives for QA processes.

Ensure compliance with healthcare regulations and data privacy requirements.

Validate HIPAA-compliant workflows and data handling practices.

Support audit and regulatory testing requirements.

Jira / Azure DevOps

HP ALM / QC (preferred)

Postman / SOAP UI

SQL

Selenium or other automation tools

Git

CI/CD concepts

Agile Scrum

Waterfall

SDLC & STLC

Defect Lifecycle Management