Remote Pharmacy Claims QA & Systems Tester

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

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.