QA Test Engineer with Pharmacy Claims PBM Testing and NCPDP - W2 Only

Ensisinfo Inc; United States; Remote; USD 90,000 - 120,000; Full time

Job summary

Ensisinfo Inc is a technology solutions company specializing in healthcare IT, based in Carmichael, CA. This remote role focuses on Pharmacy Claims & PBM Systems analysis, testing, and data validation across pharmacy systems.

You will work with cross-functional teams to ensure accurate transaction processing and successful system integrations, with strong emphasis on testing and data quality in a healthcare environment.

Qualifications

• Hands-on with NCPDP D.0 and F6 in pharmacy transactions.
• Strong PBM and pharmacy claims processing background.
• Proficient in SQL for data validation and analysis.
• Experience conducting SIT, UAT, and parallel testing in health IT.
• Ability to document, track, and resolve defects.

Responsibilities

• Support and maintain NCPDP transaction processing for pharmacy claims.
• Analyze and troubleshoot PBM and pharmacy claims data for accuracy and compliance.
• Write and execute SQL queries to validate data integrity across systems.
• Lead and participate in SIT and UAT activities.
• Coordinate parallel testing to validate new implementations vs legacy environments.
• Document test cases, defects, and results throughout the lifecycle.
• Collaborate with developers, business analysts, and operations stakeholders.

Skills

NCPDP D.0

NCPDP F6

PBM knowledge

SQL

SIT

UAT

Defect tracking

Analytical thinking

Communication skills

Tools

SQL

Job description

About the Role:

Ensisinfo Inc is looking for a talented and detail-oriented Pharmacy Claims & PBM Systems Analyst to join our team in Carmichael, CA. This is an exciting opportunity to work at the intersection of healthcare technology and pharmacy benefit management, driving critical system implementations and testing initiatives.

Responsibilities:

• Support and maintain NCPDP D.0 and NCPDP F6 transaction processing for pharmacy claims
• Analyze and troubleshoot PBM and pharmacy claims data to ensure accuracy and compliance
• Write and execute SQL queries to validate data integrity across pharmacy claims systems
• Lead and participate in System Integration Testing (SIT) and User Acceptance Testing (UAT) activities
• Coordinate and execute parallel testing efforts to validate new system implementations against legacy environments
• Document test cases, defects, and results throughout the software development lifecycle
• Collaborate with cross-functional teams including developers, business analysts, and pharmacy operations stakeholders

Requirements:

• Hands-on experience with NCPDP D.0 and NCPDP F6 pharmacy transaction standards
• Strong background in PBM (Pharmacy Benefit Management) and pharmacy claims processing
• Proficient in SQL for data querying, validation, and analysis
• Experience conducting SIT, UAT, and parallel testing in a healthcare or pharmacy IT environment
• Ability to identify, document, and track defects through resolution
• Strong analytical and problem-solving skills with keen attention to detail
• Excellent communication skills with the ability to work effectively across technical and non-technical teams

About Us:

Ensisinfo Inc is a technology solutions company based in Carmichael, CA, specializing in delivering innovative IT and healthcare systems expertise to clients across the industry. Our team is known for tackling complex challenges with precision and dedication, making us a trusted partner for organizations navigating the evolving healthcare technology landscape. We foster a collaborative, growth-oriented work environment where skilled professionals can make a meaningful impact.

This is a remote position.