Test Lead

Job Description

Job Title

Test Lead - Pharmacy Benefit Management (PBM) Healthcare

Location

Bangalore / Hyderabad

Cost : 15 to 20 LPA

Job Summary

We are seeking an experienced Test Lead with 6 to 8 years of software testing experience, including strong expertise in the Pharmacy Benefit Management (PBM) healthcare domain. The ideal candidate will lead QA initiatives, define test strategies, manage testing teams, and ensure high-quality delivery of healthcare applications supporting pharmacy claims processing, formulary management, eligibility verification, prior authorization, rebates, and benefit administration.

The candidate should possess a deep understanding of PBM business processes, healthcare regulations, and software testing best practices across Agile environments.

Key Responsibilities

Test Leadership

• Lead and mentor a team of QA analysts and test engineers.
• Define test strategy, test plans, and quality assurance processes.
• Estimate testing efforts and manage test execution schedules.
• Coordinate testing activities across development, business, and stakeholder teams.
• Track defects, risks, and quality metrics and provide regular status reports.
  
  

Functional Testing

• Review business requirements, user stories, and functional specifications.
• Design and execute comprehensive test scenarios and test cases.
• Validate PBM workflows, claims adjudication, benefit plans, and pharmacy transactions.
• Perform end-to-end testing across integrated healthcare systems.
  
  

PBM Domain Validation

• Test pharmacy claims lifecycle including:
• Claim adjudication
• Eligibility verification
• Drug utilization review (DUR)
• Formulary management
• Prior authorization
• Specialty pharmacy workflows
• Clinical programs
• Medicare Part D processes
• Rebate management
• Validate NCPDP transaction standards and pharmacy data exchanges.

Defect Management

• Log, prioritize, and track defects through closure.
• Perform root cause analysis and support defect triage meetings.
• Collaborate with development teams to resolve issues efficiently.
  
  

Automation & Process Improvement

• Identify automation opportunities and improve test coverage.
• Review and support automation frameworks using Selenium, Playwright, Cypress, or equivalent tools.
• Drive continuous improvement initiatives for QA processes.
  
  

Compliance & Quality Assurance

• Ensure compliance with healthcare regulations and data privacy requirements.
• Validate HIPAA-compliant workflows and data handling practices.
• Support audit and regulatory testing requirements.
  
  

Tools & Technologies

• Jira / Azure DevOps
• HP ALM / QC (preferred)
• Postman / SOAP UI
• SQL
• Selenium or other automation tools
• Git
• CI/CD concepts
  
  

Methodologies

• Agile Scrum
• Waterfall
• SDLC & STLC
• Defect Lifecycle Management
  
  

Keywords: PBM, Pharmacy Benefit Management, Healthcare Testing, Claims Adjudication, NCPDP, HIPAA, Medicare Part D, Prior Authorization, Formulary Management, QA Lead, Test Lead, Healthcare QA, API Testing, Automation Testing, Agile.

Qualifications

BE

Range Of Year Experience-Min Year

4

Range Of Year Experience-Max Year

8