Sr QA Test Engineer/Lead/Manager with PBM (Pharmacy Benefits Management)

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:

Summary

JD's for NCPDP program

SR QA Engineer:

• Execute functional, regression, integration, and parallel testing for F6 transaction formats, supporting quality delivery of PBM and Medicaid pharmacy solutions.

• Design and execute test cases in alignment with the overall test strategy, ensuring coverage meets federal compliance timelines and state Medicaid regulations.

• Validate NCPDP F6 transaction routing, data crosswalks, expanded product identifiers, and telephony compliance, including the D.0 to F6 transition across 271 Eligibility Response and Formulary and Benefit outbound extracts.

• Perform functional testing across the pharmacy claim lifecycle, including claims adjudication, drug pricing, formulary and benefit design, prior authorization, DUR, COB, and rebate processing.

• Write, execute, and maintain SQL queries for backend data validation and reconciliation across pharmacy claims, eligibility, and formulary data.

• Log, track, and triage defects in ALM/JIRA, coordinating with business SMEs, PBMs, developers, and conversion teams to drive timely resolution.

• Support parallel run validation between legacy NCPDP formats and F6-compliant transactions, documenting discrepancies and results.

• Provide status updates and testing metrics to the Test Manager, flagging risks and blockers as they arise.

Required Qualification:

• 5–7 years of software testing experience.

• Strong PBM or Medicaid pharmacy experience, with direct exposure to NCPDP standards transitions (D.0, F2, or F6).

• Experience with large-scale DDI or MMIS modernization programs is a plus.

• Expertise in: NCPDP transaction sets, Claims adjudication, Prior Authorization, Formulary management, Drug Rebate processing, Eligibility (270/271) processing, Pharmacy financial validation.

• Proficiency in SQL for data validation.

• Experience using ALM/JIRA for test case management and defect tracking.

• Strong attention to detail and ability to work across cross-functional and vendor teams.

Skills Matrix’s

Skills

Rating (1-5)

Years of exp.

Claims In take Process

Claims Edit

Drug Utilization Review

Drug Rebate System

Formulary