QA Lead/Manager- PBM Claims Processing -Remote

Remote • Posted 6 hours ago • Updated 6 hours ago
Contract W2
Contract Independent
Contract Corp To Corp
12 Months
Remote
Depends on Experience
Company Branding Image
Fitment

Dice Job Match Score™

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Job Details

Skills

  • PBM
  • PHARMACY BENEFIT MANAGEMENT
  • MEDICAID
  • HEALTHCARE
  • PHARMACY
  • GOVERNMENT
  • STATE
  • CLAIMS
  • CI/CD
  • API
  • AGILE

Summary

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.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91139083
  • Position Id: 26-00740
  • Posted 6 hours ago

Company Info

About The Dignify Solutions, LLC

 The Dignify Solutions with Global Capabilities and Local Excellence – has combined experience of 30 +years in Client Services/ Engagement/ Relationship/ Partnership, Sales/ Account Management, Service Delivery, Recruiting, Staffing and Talent Acquisition for the whole gamut of skillsets in Information Technology (Digital Transformation, Artificial Intelligence, Machine Learning and other business domains).

The Dignify is dedicated to meeting the needs of two types of customers: our Clients and our Consultants. We ensure that our clients receive Top Talent while also allowing our consultants to accomplish their Professional Goals. 

The Dignify honors & prioritizes the Philosophy of Client Centricity and Delivery Excellence. The Dignify has dedicated Sales and Delivery Teams with each client, to make sure our standards and yours are being met. From Banking and Financial Services, Manufacturing and Retail, Energy and Utilities, Communication and Media, Technology and Telecom Services and beyond, our goal is to maintain a High Quality, Customer-Focused Engagement Model.

We are driven by three core principles in changing Staff Augmentation for the better: Cost, Quality, and Responsiveness. Whatever your need – be it a single resource or a whole team, we will find you the right talent in a timely and cost-effective manner.

The Dignify offers the Best Skilled Potential Talent, Services and Solutions to help our clients, accomplish their goals. As Market Intelligence Leaders, we provide insight into industry factors that will give you the competitive advantage you need to stay a step ahead of others in your space.

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