Job Title: PBM QA Lead/ Manager
Location: Remote
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 Summary:
The PBM QA Lead will drive end-to-end quality assurance activities across Pharmacy Benefit Management (PBM) systems and programs. This role focuses on leading testing efforts, ensuring high-quality delivery, and collaborating with cross-functional teams across complex PBM initiatives.
Key Responsibilities:
QA Leadership & Coordination
- Lead QA activities across PBM platforms, integrations, and releases
- Guide and support QA analysts and testers
- Track QA metrics and provide regular status updates
Testing & Quality Assurance
- Plan, execute, and manage test cycles and defect tracking
- Ensure coverage across functional, regression, integration, and UAT testing
- Validate PBM workflows: claims adjudication, formulary, eligibility, accumulators, prior authorization
- Support and enhance test automation efforts
Process & Compliance
- Ensure adherence to HIPAA, CMS, and regulatory standards
- Maintain documentation for testing and audit readiness
- Identify and implement process improvements
Collaboration
- Work closely with product, development, and PBM operations teams
- Coordinate with onshore/offshore teams and stakeholders
- Support release activities and defect resolution
Required Qualifications:
- 8+ years of QA experience with lead-level responsibilities
- Strong knowledge of PBM systems, pharmacy claims, and operations
- Experience with QA methodologies, tools, and automation
- Hands-on experience in test planning, UAT, and defect management
- Strong communication and coordination skills
- Experience working in Agile/Scrum environments
Preferred Qualifications:
- Experience with PBM platforms (RxClaim, MedImpact, OptumRx, CVS/Caremark, etc.)
- Healthcare or insurance domain experience
- Certifications like ISTQB, CSM, or SAFe (preferred)
- Exposure to cloud-based systems and modern QA tools
If you are interested, please share your updated resume or connect with me to discuss further.
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