QA Lead/Manager- PBM Claims Processing -Remote

Required Qualifications

• 15+ years of software quality assurance experience, including hands-on test design and execution.
• 5+ years of QA leadership or management experience.
• Strong experience supporting PBM claims processing systems.
• Deep understanding of SDLC, Agile execution, test estimation, risk-based testing, and release management.
• Ability to define and manage quality metrics, dashboards, and team performance indicators.
• Strong analytical, communication, stakeholder management, and problem-solving skills.

Preferred Qualifications

• Experience with Medicaid PBM programs is strongly preferred.
• Experience with healthcare payer, pharmacy, managed care, or government healthcare systems.
• Knowledge of healthcare compliance, regulatory requirements, audit readiness, and operational controls.
• Experience with test automation frameworks, CI/CD pipelines, API testing tools, SQL, and data validation techniques.
• Experience leading geographically distributed or vendor-partner QA teams.