QA Test Engineer With Medicaid - 100% Remote

The Dignify Solutions, LLC; New Jersey; Remote; USD 90,000 - 130,000; Full time

Job summary

The Dignify Solutions, LLC is seeking a senior QA professional with 7+ years of experience to join our remote team in the United States. You will verify pharmacy claims processes, test plan development, and ensure data integrity across eligibility, pricing, and claim messaging.

You will apply knowledge of NCPDP standards and SQL-based validation, collaborate in agile environments, and communicate testing results clearly to technical and business stakeholders.

Qualifications

• Minimum 7 years of QA or software testing experience, preferably in healthcare, PBM or pharmacy claims environments.
• Hands-on testing of pharmacy claims, claim adjudication, eligibility, benefits, pricing, accumulators, reject codes, and claim messaging.
• Knowledge of NCPDP Telecommunication Standard Version D.0; exposure to Version F6 preferred.
• Experience creating test plans, test cases, test scripts, test estimates, test data, and traceability matrices.
• Strong understanding of SDLC methodologies (Agile, Scrum, Waterfall, Iterative, or hybrid delivery models).
• Solid SQL experience for backend validation, data reconciliation, and claims data analysis.
• Experience with defect management, test execution tracking, QA reporting, and release validation.
• Ability to interpret transaction layouts, payer sheets, field-level requirements, business rules, and technical mapping documents.
• Strong analytical, troubleshooting, organizational, documentation, and problem-solving skills.
• Effective written and verbal communication skills with the ability to explain testing results, defects, and implementation risks to technical and business audiences.

Skills

Adjudication

Agile Programming Methodologies

Bug Tracking/Defect Management

Communication Skills

Data Analysis

Healthcare

Medicaid

Pharmacy

Presentation/Verbal Skills

Pricing

Quality Assurance

Reconciliation

SQL (Structured Query Language)

Scrum Project Management and Software

Software Development Lifecycle (SDLC)

Software Testing

Technical Writing

Telecommunications Standards

Testing

Writing Skills

Job description

Remote

• Minimum of 7 years of Quality Assurance or software testing experience, preferably in healthcare, PBM or pharmacy claims environments.


• Hands-on experience testing pharmacy claims, claim adjudication, eligibility, benefits, pricing, accumulators, reject codes, and claim response messaging.


• Working knowledge of NCPDP Telecommunication Standard Version D.0; exposure to Version F6 implementation or standards migration is strongly preferred.


• Experience creating test plans, test cases, test scripts, test estimates, test data, and traceability matrices.


• Strong understanding of SDLC methodologies, including Agile, Scrum, Waterfall, Iterative, or hybrid delivery models.


• Solid SQL experience for backend validation, data reconciliation, and claims data analysis.


• Experience with defect management, test execution tracking. QA reporting, and release validation.


• Ability to interpret transaction layouts, payer sheets, field-level requirements, business rules, and technical mapping documents.


• Strong analytical, troubleshooting, organizational, documentation, and problem- solving skills.


• Effective written and verbal communication skills with the ability to explain testing results, defects, and implementation risks to technical and business audiences. Ability to work independently and collaboratively in a fast-paced implementation environment.

Skills:

• Adjudication


• Agile Programming Methodologies


• Bug Tracking/Defect Management


• Communication Skills


• Data Analysis


• Healthcare


• Medicaid


• Pharmacy


• Presentation/Verbal Skills


• Pricing


• Quality Assurance


• Reconciliation


• SQL (Structured Query Language)


• Scrum Project Management and Software Development


• Software Development Lifecycle (SDLC)


• Software Testing


• Technical Writing


• Telecommunications Standards


• Testing


• Writing Skills

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The Dignify Solutions, LLC