QA Test Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee and direct QA teams that support PBM applications and claims processing platforms.

• Create, standardize, and continually enhance QA processes, methodologies, templates, and best practices.

• Foster a culture centered around quality through disciplined processes, automation, engineering rigor, and defect prevention.

• Lead root cause analysis, corrective actions, and initiatives focused on continuous improvement.

• Offer subject matter expertise regarding PBM business processes.

• Validate comprehensive claims adjudication workflows, encompassing eligibility, formulary, prior authorization, pricing, accumulators, coordination of benefits, reversals, rejects, and payment processing.

• Collaborate with business, product, compliance, and technology stakeholders to ensure testing aligns with regulatory and business requirements.

• Define, monitor, and report on quality metrics such as defect density, defect leakage, test coverage, automation coverage, test execution progress, cycle time, and release readiness indicators.

• Leverage data-driven insights to identify risks, enhance productivity, manage capacity, and optimize testing effectiveness.

• Prepare and deliver quality dashboards, executive status updates, release readiness assessments, and risk summaries.

• Engage in Agile ceremonies including sprint planning, backlog refinement, daily standups, retrospectives, and release planning.

• Develop test strategies, test plans, test scenarios, and effort estimates for testing.

• Coordinate testing across various initiatives while balancing scope, schedule, risk, and team capacity.

• Work in collaboration with Product Owners, Developers, Business Analysts, Scrum Masters, Release Managers, and Operations teams.

• Conduct functional, integration, regression, system, UAT support, API, data validation, performance, and automation testing as necessary.

• Assess and implement modern testing tools, frameworks, and accelerators.

• Address complex quality challenges and eliminate delivery bottlenecks.

⛳️ Requirements

• Over 15 years of experience in software quality assurance, including hands-on test design and execution.

• More than 5 years in QA leadership or management roles.

• Extensive experience in supporting PBM claims processing systems.

• Profound understanding of the SDLC, Agile execution, test estimation, risk-based testing, and release management.

• Capability to define and manage quality metrics, dashboards, and team performance indicators.

• Excellent analytical, communication, stakeholder management, and problem-solving abilities.

• Experience with Medicaid PBM programs is highly preferred.

• Background in healthcare payer, pharmacy, managed care, or government healthcare systems.

• Familiarity with healthcare compliance, regulatory standards, audit readiness, and operational controls.

• Proficient with test automation frameworks, CI/CD pipelines, API testing tools, SQL, and data validation techniques.

• Experience leading geographically distributed or vendor-partner QA teams.

🏝️ Benefits

• Contract-to-hire employment opportunity.

• Flexible remote work arrangement.

• Travel required within the United States.