BENGALURU · FULLTIME
Technical Specialist-Testing Services
BirlaSoft
Bengaluru · onsite · Posted 51d ago
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Undisclosed4–9 yrsfulltimeBengaluru
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Section · 01
About this role
Area(s) of responsibility
- Minimum of 4+ years of QA experience with PBM / pharmacy claims domain knowledge
- Experience in writing SQL queries for data validation
- Ability to design and execute test cases, test scenarios, and test data
- Hands-on experience in validating end-to-end pharmacy claims lifecycle, including:
- Member eligibility and benefit verification
- Pharmacy/provider validation (NPI, NCPDP ID)
- Real-time POS claims adjudication
- Pricing logic (AWP, MAC, ingredient cost, dispensing fee, copay, accumulators)
- Experience in testing scenarios involving:
- Coordination of Benefits (COB) / Other Payer
- Prior Authorization (PA)
- Formulary and benefit plan rules
- Specialty and retail pharmacy claim
Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.
Sourced from naukri
Section · 02
Skills
sql queriesQATestingretailCostclaims adjudicationtest scenariosPharmacyTest Case ExecutionData Validation
Section · Company
About Birlasoft
BirlaSoft
IT Services & Consulting
10.9k+
employees
1995
31 years old
Pune, Maharashtra
India
About
Birlasoft combines the power of a domain, enterprise, and digital technologies to reimagine business potential. Surpassing expectations, breaking convention!
Industries
IT Services & Consulting
Employee ratings
3,764 reviews
3.4/ 5
Culture
3.3
Career growth
2.6
Work-life
3.6
Employees rate it well for
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