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QA with Medicaid & PBM - Remote

The Dignify Solutions, LLCNew York, NY🇺🇸United StatesPosted Oct 19, 2026

Why This Role Stands Out

Embrace this fully remote opportunity at The Dignify Solutions, LLC, where you'll leverage your extensive QA expertise in Medicaid and PBM to drive impactful improvements in healthcare technology. This role offers significant career growth for seasoned professionals who excel in complex testing environments and are adept at detailed analysis and problem-solving. Apply today to join a forward-thinking team and contribute to meaningful advancements in the industry.

Quick Overview

Seniority
Mid Senior
Work mode
Remote
Location
New York, NY, United States
Posted
18 hours ago
SQLScrumAgilePharmacyReconciliationWaterfall

Job Description

  • 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.

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