About This Role
This QA Manager role involves leading quality engineering and testing for Pharmacy Benefit Management (PBM) platforms. The position suits an experienced and highly motivated individual with a strong process orientation, an engineering mindset, hands-on testing depth, and proven experience managing QA teams using measurable quality and delivery metrics.
Responsibilities
- Lead and manage QA teams supporting PBM applications and claims processing platforms
- Establish, standardize, and continuously improve QA processes, methods, templates, and best practices
- Promote a quality-first culture through process discipline, automation, engineering rigor, and defect prevention
- Drive root cause analysis, corrective actions, and continuous improvement initiatives to improve product quality
- Provide subject matter expertise in PBM business processes, with a strong preference for Medicaid claims processing experience
- Validate end-to-end 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 regulatory and business requirements
- Define, track, and report key quality metrics such as defect density, defect leakage, test coverage, automation coverage, test execution progress, cycle time, and release readiness indicators
- Use data-driven insights to identify risks, improve productivity, manage capacity, and optimize testing effectiveness
- Prepare and present quality dashboards, executive status updates, release readiness assessments, and risk summaries
- Participate actively in Agile ceremonies including sprint planning, backlog refinement, daily standups, retrospectives, and release planning
- Develop test strategies, test plans, test scenarios, and realistic test effort estimates for projects, releases, and production changes
- Coordinate testing across multiple initiatives while balancing scope, schedule, risk, and team capacity
- Collaborate closely with Product Owners, Developers, Business Analysts, Scrum Masters, Release Managers, and Operations teams
- Remain hands-on when needed across functional, integration, regression, system, UAT support, API, data validation, performance, and automation testing
- Evaluate and implement modern testing tools, frameworks, and accelerators that improve quality, speed, and repeatability
- Apply out-of-the-box thinking to solve complex quality challenges and remove delivery bottlenecks
Requirements
- 15+ years of software quality assurance experience, including hands-on test design and execution
- 5+ years of QA leadership or management experience
