Senior Test Engineer

Infinite Computer Solutions; New Jersey; On-site; USD 90,000 - 130,000; Full time

Job summary

Infinite Computer Solutions is seeking a Test Engineer for QA in healthcare claims, focusing on NCPDP D.0 to F6 migrations. You will validate claim submissions, eligibility, COB scenarios, and ensure production readiness across systems.

The role requires strong SQL, data validation, and PBM/pharmacy testing experience, plus collaboration with PBM SMEs, BA, development, and business teams. Onshore/offshore coordination is expected.

Qualifications

• 7+ years of QA or software testing in healthcare/PBM/pharmacy claims.
• Hands-on testing of pharmacy claims, adjudication, eligibility and benefits.
• Knowledge of NCPDP Telecommunication Standard D.0; exposure to F6 preferred.
• Experience creating test plans, test cases, test scripts, test data, and traceability matrices.
• Strong SDLC knowledge with Agile, Scrum, Waterfall, Iterative or hybrid delivery.
• Solid SQL for backend validation, data reconciliation and claims data analysis.
• Ability to interpret transaction layouts, payer sheets, field requirements and mappings.
• Excellent written and verbal communication for technical/business audiences.
• Bachelor's degree preferred; equivalent industry experience considered.

Responsibilities

• Analyze NCPDP D.0 and F6 requirements, payer sheets, field mappings, and rules to identify test scenarios.
• Create and maintain test plans, scenarios, cases, scripts, data, and traceability.
• Coordinate with BAs/Subject Matter Experts.
• Validate pharmacy claim requests and responses including eligibility, COB, pricing, and rejection messaging.
• Perform functional, regression, integration, end-to-end, batch, database, API/interface, UAT support, and production validation testing.
• Develop and execute SQL queries to validate claims data and downstream reporting impacts.
• Compare D.0 and F6 behavior across systems; document updates to fields and processing.
• Identify, track, retest and close defects using approved defect processes.
• Support test data creation for positive/negative scenarios.
• Coordinate testing with PBM SMEs, business users, developers, PBM teams, and downstream apps.
• Coordinate Onshore / Offshore as needed; discuss automation opportunities.

Skills

NCPDP D.0

NCPDP F6

PBM/pharmacy claims

SQL

SIT

UAT

Regression testing

Trading partner testing

Release testing

Production validation

Post-implementation defect triage

Education

Bachelor's degree

Job description

Job Description

Job Description: QA We’re looking for a Test Engineer with strong pharmacy claims and PBM testing experience to support an NCPDP D.0 to F6 implementation.

This role is responsible for validating transaction changes, claim adjudication outcomes, eligibility and coordination of benefits scenarios, reject messaging, payer sheet impacts, data mapping, regression coverage, and production readiness. The ideal candidate has strong pharmacy claims testing experience, working knowledge of NCPDP D.0, the ability to learn and validate F6 changes, strong SQL and data validation skills, and experience collaborating with PBM SME’s, BA, development, and business teams.

Key experience: NCPDP D.0, NCPDP F6, PBM/pharmacy claims, SQL, SIT, UAT, Parallel, regression testing, trading partner testing, release testing, production validation, and post-implementation defect triage.

Key Responsibilities

• Analyze NCPDP D.0 and F6 implementation requirements, payer sheets, field mapping documents, business rules, and transaction specifications to identify test scenarios and validation needs.
• Create and maintain test plans, test scenarios, test cases, test scripts, test data, and traceability for pharmacy claim transaction testing.
• Analyzes requirements, coordinate with BA’s / Subject Matter Experts.
• Validate NCPDP pharmacy claim request and response transactions, including claim submission, reversal, eligibility, coordination of benefits, reject codes, messaging, pricing, accumulators, and coverage determination scenarios.
• Perform functional, regression, integration, end-to-end, batch, database, API/interface, UAT support, Parallel and production validation testing for D.0 to F6 changes.
• Develop and execute SQL queries to validate claims data, member eligibility, benefit setup, pricing, accumulators, drug data, payer configuration, and downstream reporting impacts.
• Compare D.0 and F6 transaction behavior to confirm that new, modified, and retired fields are processed correctly across impacted systems.
• Identify, document, track, retest, and close defects using approved defect management processes and tools.
• Support test data creation for positive, negative scenarios.
• Coordinate testing dependencies with PBM SME’s, business users, developers, PBM teams, and downstream application teams.
• Coordinates Onshore / Offshore as needed.
• Working knowledge on AI tools for automation.
• Prepare daily or weekly status updates, defect reports, test execution metrics, test coverage summaries, and implementation risk updates.
• Participate in requirement reviews, design walkthroughs, payer sheet reviews, field mapping reviews, release readiness meetings, and implementation checkpoints.

Required Qualifications

• 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.
• Bachelor’s degree is preferred. Equivalent industry experience may be considered.

Qualifications

Graduate

Range Of Year Experience-Min Year

8

Range Of Year Experience-Max Year

10