About this role
QA Tester
Job description: Senior QA Job Description
Role Overview • Senior QA role supporting Conduent PBM platform for migration from D.0 to F6 standards. • Responsible for end-to-end QA delivery across real-time pharmacy claims processing and adjudication systems. • Collaborate with business SMEs, product owners, and engineering teams to ensure quality and compliance.
Key Responsibilities: · Analyze user needs and test software solutions using agile methodology · Create test models for release testing (plans, data and scripts) including the identification, collection and/or creation of test data · Lead co-ordination and execution of release testing as appropriate · Determine and meet time estimates and schedules for testing efforts · Define Release Test Plans and criteria for user acceptance including entry/exit criteria · Develop, update and maintain quality testing standards and procedures · Communicate effectively with customers and software vendors as appropriate · Assist in the planning, creation and control of the test environment(s) · Follow standard testing methodology frameworks, testing processes as a standard · Co-ordinate testing specific release activities · Determine and meet time estimates and schedules for testing efforts · Create test models for release testing (plans, data and scripts) pate in structured walk-through and peer reviews · Participate in the coordination and execution of release testing · Update and test release installation procedures · Participate in Lessons Learned as appropriate · Identify defects and questionable functionality; manage defects through to closure · Resolve issues with unclear requirements and achieve a successful result · Triage and solve complex problems using structured troubleshooting methodologies · Work independently as well as work collaboratively in a team environment
Experience required:
· Minimum of 6+ years of experience as Senior QA/QA lead with strong PBM / pharmacy claims domain expertise · Solid experience in writing SQL statements for data validations · Ability to design, develop, test and debug tests cases/Scripts/plans/strategy documents · Hands on Experience in Validate end-to-end pharmacy claims lifecycle, including: o Member eligibility and benefit verification o Pharmacy/provider validation (NPI, NCPDP ID) o Real-time POS claims adjudication o Pricing logic (AWP, MAC, ingredient cost, dispensing fee, copay, accumulators) • Test complex scenarios involving: o Coordination of Benefits (COB) / Other Payer o Prior Authorization (PA) o Formulary and benefit plan rules o Specialty and retail pharmacy claims
· Document and interpret business and technical requirements for testing utilizing various development methodologies (e.g. Agile, Scrum, Iterative, Waterfall, etc.) · Effective communication skills to articulate testing result data to multiple audiences. · Strong web services testing experience using Postman or Soup UI. · Working knowledge of industry standard automated testing tools, practices, and software and/or Performance testing tools. · Strong and effective inter-personal and communication skills and the ability to interact professionally with a diverse group of clients and team members