Overview
We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems, with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership, ensuring high-quality delivery across complex healthcare platforms.
Responsibilities
- Lead end-to-end QA activities for RxCLAIM-based applications, including test strategy, planning, execution, and defect management
- Act as the QA point of contact for PBM/RxCLAIM initiatives, collaborating closely with business analysts, developers, and product owners
- Define and enforce QA processes, standards, and best practices across projects
- Review and validate business requirements, functional specifications, and technical designs from a QA perspective
- Design and oversee test scenarios, test cases, and test data covering eligibility, claims adjudication, pricing, formularies, benefits, accumulators, and prior authorization
- Lead and mentor QA analysts, providing guidance on RxCLAIM workflows and testing techniques
- Coordinate SIT, UAT, and regression testing, including support for business and client UAT cycles
- Ensure compliance with healthcare regulations and industry standards (HIPAA, CMS, etc.)
- Track test execution metrics, defect trends, and quality KPIs; report status to stakeholders
- Support automation initiatives by identifying regression candidates and working with automation teams
- Participate in release planning, production validation, and post-release defect analysis
Qualifications
- 8+ years of experience in QA/testing, with at least 3–4 years in a QA Lead role
- Strong hands-on experience with RxCLAIM (claims processing, plan setup, pricing, benefits, accumulators, DUR, PA)
- Solid understanding of PBM and pharmacy domain concepts
- Strong knowledge of test management and defect tracking tools (e.g., ALM, Jira, Zephyr, qTest)
- Excellent analytical, problem-solving, and communication skills
- Proven experience leading teams and coordinating with cross-functional stakeholders
Preferred Qualifications
- Experience with test automation tools and frameworks
- Exposure to other PBM platforms (e.g., QNXT, Facets, ICD)
- Experience working in Agile/Scrum environments
- ISTQB or similar QA certification
Additional Information
Discover some of the global benefits that empower our people to become the best version of themselves:
- Finance: Competitive salary package, share plan, company performance bonuses, value-based recognition awards, referral bonus
- Career Development: Career coaching, global career opportunities, non-linear career paths, internal development programmes for management and technical leadership
- Learning Opportunities: Complex projects, rotations, internal tech communities, training, certifications, coaching, online learning platforms subscriptions, pass-it-on sessions, workshops, conferences
- Work-Life Balance: Hybrid work and flexible working hours, employee assistance programme
- Health: Global internal wellbeing programme, access to wellbeing apps
- Community: Global internal tech communities, hobby clubs and interest groups, inclusion and diversity programmes, events and celebrations
Additional Employee Requirements
- Participation in internal and external meetings via video calls
- Ability to work onsite at corporate or client offices as necessary
- Prolonged periods of desk work and computer use as necessary
- Physical ability to bend, kneel, crouch, and reach overhead as necessary
- Vision abilities including close vision and tolerance of lighting conditions
- For roles requiring business travel, ability to lift up to 25 lbs and a valid driver’s license
If requested, reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs, absent undue hardship.
USA Benefits (Full time roles only, does not apply to contractor positions)
- Robust healthcare and benefits including Medical, Dental, vision, Disability coverage, and various other benefit options
- Flexible Spending Accounts (Medical, Transit, and Dependent Care)
- Employer Paid Life Insurance and AD&D Coverages
- Health Savings account paired with our low-cost High Deductible Medical Plan
- 401(k) Safe Harbor Retirement plan with employer match with immediately vest
At Endava, we’re committed to creating an open, inclusive, and respectful environment where everyone feels safe, valued, and empowered to be their best. We welcome applications from people of all backgrounds, experiences, and perspectives—because we know that inclusive teams help us deliver smarter, more innovative solutions for our customers. Hiring decisions are based on merit, skills, qualifications, and potential. If you need adjustments or support during the recruitment process, please let us know.