Manual QA Engineer

Liviniti; Dallas, Northern (TX, KY); Hybrid; USD 70,000 - 110,000; Full time

Benefits offered by this job

Medical, Dental and Vision insurance

Disability and Life insurance

Remote work options

Annual Reviews and Development Plans

Retirement Plan with company match

Job summary

Liviniti, LLC is seeking a Manual QA Engineer in Dallas, TX to ensure accuracy and quality of pharmacy benefit technology. You will design and execute manual tests across claims adjudication, pricing, formulary, and configurations while documenting defects and validating fixes.

The role requires 3–5 years in PBM/health plan testing, strong knowledge of pharmacy concepts, and collaboration with analysts, developers, and configuration teams. Remote work options available.

Qualifications

• 3–5 years of manual QA testing in a PBM/health plan/pharmacy claims environment.
• Hands-on testing of claims adjudication systems and benefit configurations.
• Knowledge of pharmacy claims concepts: NCPDP formats, formulary/tiering, copay/coinsurance logic, DUR, prior authorization, rebates.
• Ability to write clear, structured test cases and defect reports.
• Experience with test case management and defect tracking tools (Azure DevOps, Jira, TestRail).
• Understanding of the QA lifecycle: test planning, execution, regression, UAT.
• Strong attention to detail and cross-functional communication.

Responsibilities

• Design, write, and execute manual test cases across claims adjudication, pricing, formulary, accumulators, and configuration.
• Validate claim outcomes against expected adjudication logic and plan setup.
• Perform regression, functional, and end-to-end testing across releases.
• Document defects with clear reproduction steps and impact.
• Collaborate with analysts, developers, and config teams to validate fixes.
• Test edge cases in copay structures, DUR, accumulators, and vendor integrations.
• Maintain test docs, data sets, and traceability to requirements.
• Support Stage cycles and release sign-off decisions.

Skills

Manual QA testing

PBM/claims domain

Test case design

Defect reporting

SQL familiarity

Agile/Scrum

Communication skills

Tools

Azure DevOps

Jira

TestRail

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Operational Level Dallas, TX, US

Role and Responsibilities

The Manual QA Engineer is responsible for helping protect the accuracy, reliability, and quality of Liviniti's pharmacy benefit technology by thoroughly validating claims adjudication logic, benefit configurations, system functionality, and end-to-end business processes before changes reach production. This role develops and executes detailed manual testing across complex PBM scenarios, identifies and clearly documents defects, verifies that fixes perform as intended, and partners closely with business analysts, developers, configuration teams, and other stakeholders throughout the software development and release lifecycle. Through careful testing, sound judgment, and a strong understanding of pharmacy claims and benefit design, the Manual QA Engineer helps reduce production risk and supports dependable outcomes for Liviniti, our clients, and the members we serve. Additional duties may include, but are not limited to, the following:

• Design, write, and execute manual test cases and test plans covering claims adjudication, pricing, formulary, accumulators, prior authorization, and benefit plan configuration.
• Validate claim outcomes (paid, rejected, reversed) against expected adjudication logic and plan setup.
• Perform regression, functional, and end-to-end testing across releases and configuration changes.
• Identify, document, and track defects with clear reproduction steps, expected vs. actual behavior, and business impact.
• Collaborate with business analysts, developers, and configuration teams to clarify requirements and validate fixes.
• Test edge cases involving copay structures, DUR, accumulator resets, coordination of benefits, and vendor integrations.
• Maintain and update test documentation, test data sets, and traceability to requirements.
• Participate in Stage cycles and support release sign-off decisions

Required Skills and Competencies

• 3–5 years of manual QA testing experience within a PBM, health plan, or pharmacy claims environment
• Hands‑on experience testing claims adjudication systems and pharmacy benefit configurations
• Working knowledge of pharmacy claims concepts: NCPDP claim formats, formulary/tiering, copay/coinsurance logic, accumulators, DUR, prior authorization, and rebates.
• Strong ability to write clear, structured test cases and defect reports.
• Experience with test case management and defect tracking tools (e.g., Azure DevOps, Jira, TestRail, or similar)
• Solid understanding of the software QA lifecycle (test planning, execution, regression, UAT)
• Excellent attention to detail and ability to spot discrepancies in complex rule-based systems.
• Strong written and verbal communication skills for cross‑functional collaboration

What We Have to Offer

Our benefits package is designed to keep our employees happy and healthy - physically, mentally and financially.

• Medical, Dental and Vision insurance
• Disability and Life insurance
• Remote work options
• Annual Reviews and Development Plans
• Retirement Plan with company match imme4diatley 100% vested

Supervisory Responsibilities

• None

Position Type and Expected Hours of Work

• Some flexibility in hours is allowed, but the employee must be available during the “core” work hours of 8:00AM to 5:00PM CT. We cover clients from West to East Coast; work times must be adjusted to cover meetings in all time zones. Ability to work extended hours, weekends, and holidays pursuant with industry demands

Travel

• This position has no travel expectations.

Preferred Education and Experience

• Familiarity with SQL for querying claims and configuration data to validate test results.
• Experience testing across multiple PBM platforms or claims switch vendors.
• Understanding of HIPAA and PHI handling requirements in a testing environment
• Exposure to Agile/Scrum development processes

Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Liviniti, LLC employees to perform their job duties may result in discipline up to and including discharge. EOE M/F/V/D