Job Title: Software Quality Assurance Analysts and Testers
Location: Espanola, NM
Employer: 4Consulting, Inc
Position Type: Full Time
Worksite: Remote
Position Summary
4Consulting, Inc is seeking a qualified Software Quality Assurance Analysts and Testers to support technology consulting, application development, systems analysis, testing, data management, cybersecurity, infrastructure, or project delivery services for client projects. The selected candidate will perform duties consistent with the client’s project requirements and company delivery standards.
Essential Duties and Responsibilities
The candidate will be responsible for:
Lead and manage QA teams supporting PBM applications and claims processing platforms. Establish standardized QA processes, testing methodologies, templates, and best practices while promoting a quality-first culture through automation, engineering discipline, defect prevention, root cause analysis, and continuous improvement.
Provide functional testing leadership for end-to-end PBM claims adjudication workflows, including eligibility, formulary, prior authorization, pricing, accumulators, coordination of benefits, reversals, rejects, and payment processing. Partner with business, product, compliance, and technology stakeholders to ensure testing aligns with business and regulatory requirements.
Define, monitor, and report quality metrics, including defect density, defect leakage, test coverage, automation coverage, execution progress, cycle time, and release readiness. Prepare quality dashboards, executive status reports, risk assessments, and recommendations to improve team productivity, testing effectiveness, and delivery outcomes.
Lead test strategy, planning, estimation, and execution across Agile projects and releases. Coordinate functional, integration, regression, system, UAT, API, data validation, performance, and automation testing while collaborating with cross-functional delivery teams. Evaluate testing tools and frameworks, resolve delivery bottlenecks, and remain hands-on with complex testing activities when required.
Minimum Qualifications
The position requires:
Education:
Bachelor’s degree in Computer Science, Information Technology, Engineering, Business, or related field, or equivalent combination of education and experience.
Experience:
15+ years of software quality assurance experience, including hands-on test design and execution.
5+ years of QA leadership or management experience, including leading and managing testing teams.
Strong experience supporting PBM claims processing systems.
Technical Skills:
Quality Engineering, Software Testing, Test Strategy and Planning, Functional Testing, Integration Testing, Regression Testing, Test Automation, API Testing, SQL and Data Validation, Quality Metrics and Dashboards
Business / Domain Skills:
Experience supporting Pharmacy Benefit Management (PBM) and healthcare claims processing environments, including end-to-end pharmacy claims adjudication, eligibility, formulary management, prior authorization, pricing, accumulators, coordination of benefits, reversals, rejects, and payment processing.
Experience supporting Medicaid PBM programs and healthcare payer, pharmacy, managed care, or government healthcare systems, including business rules, claims operations, and program-specific requirements.
Experience validating healthcare business rules, application workflows, interfaces, data, batch processes, and end-to-end transactions through functional, integration, regression, UAT, and end-to-end testing.
Experience working within regulated healthcare environments involving compliance requirements, audit readiness, operational controls, and collaboration among business, product, compliance, technology, and healthcare operations stakeholders.
Communication:
Ability to communicate with technical and business stakeholders.
Documentation:
Ability to prepare project documentation, status updates, and deliverables.
Work Authorization:
Must be legally authorized to work in the United States. Sponsorship may be considered where permitted by company policy and project requirements.
Certification Required
Not Specified
Travel Required
Not Specified
Supervisory Role
Yes — QA team leadership and management responsibilities, including team coordination, performance monitoring, and oversight of testing activities.
Preferred Qualifications
Experience supporting Medicaid PBM programs, healthcare payer platforms, managed care organizations, or government healthcare initiatives.
Experience with test automation frameworks, CI/CD pipelines, API testing tools, SQL, data validation techniques, and modern quality engineering practices.
Experience leading geographically distributed or vendor-partner QA teams, with strong analytical, communication, stakeholder management, problem-solving, and continuous improvement skills.
Equal Employment Opportunity Statement
4Consulting, Inc is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, citizenship status, immigration status were protected by law, or any other legally protected status. All candidates will be evaluated based on job-related qualifications, experience, skills, availability, and ability to perform the essential duties of the position.
