PBM Test Lead

Job Title: Test Lead-PBM

Location: Remote

Employment Type: Full-Time

About Infinite:

Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes.

With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency.

Job Description:

Required Skills & Experience

• 8-10 years of experience in Healthcare IT, Medicaid, or PBM environments.
• Strong understanding of claims adjudication, prior authorization, and pharmacy benefit processes.
• Hands-on experience with Power BI (data modeling, DAX, dashboards).
• Experience with SQL for data validation and analysis.
• Familiarity with MMIS, PBM systems, or healthcare portals.
• Strong documentation skills (BRD, FRD, test cases, process flows).
• Experience in Agile/Scrum environments.

Preferred Qualifications

• Experience with Medicaid or Medicare programs.
• Knowledge of clinical guidelines (e.g., InterQual, MCG).
• Exposure to automation testing tools (optional).
• Understanding of HIPAA, CMS regulations, and healthcare compliance.