[Remote] Healthcare QA Test Lead/Manager with PBM (Pharmacy benefits Management)

Note: The job is a remote job and is open to candidates in USA. Infinite Computer Solutions is a global leader in digital engineering and IT services, specializing in driving digital transformation for Fortune 1000 companies. They are seeking a Healthcare QA Test Lead/Manager with expertise in Pharmacy Benefits Management to oversee quality assurance processes in healthcare IT projects.

Responsibilities

• 8–10 years of experience in Healthcare IT, Medicaid, or PBM environments
• Strong understanding of claims adjudication, prior authorization, and pharmacy benefit processes
• Resource should have PBM (Pharmacy benefits Management) experience
• Hands-on experience with Power BI (data modelling, DAX, dashboards)
• Experience with SQL for data validation and analysis
• Familiarity with MMIS, PBM systems, or healthcare portals
• Strong documentation skills (BRD, FRD, test cases, process flows)
• Experience in Agile/Scrum environments
• Experience with Medicaid or Medicare programs
• Knowledge of clinical guidelines (e.g., InterQual, MCG)
• Exposure to automation testing tools (optional)
• Understanding of HIPAA, CMS regulations, and healthcare compliance

Skills

• 8–10 years of experience in Healthcare IT, Medicaid, or PBM environments
• Strong understanding of claims adjudication, prior authorization, and pharmacy benefit processes
• Resource should have PBM (Pharmacy benefits Management) experience
• Hands-on experience with Power BI (data modelling, DAX, dashboards)
• Experience with SQL for data validation and analysis
• Familiarity with MMIS, PBM systems, or healthcare portals
• Strong documentation skills (BRD, FRD, test cases, process flows)
• Experience in Agile/Scrum environments
• Experience with Medicaid or Medicare programs
• Knowledge of clinical guidelines (e.g., InterQual, MCG)
• Understanding of HIPAA, CMS regulations, and healthcare compliance
• Exposure to automation testing tools (optional)

Company Overview

Next-Gen Business Technology Platformization™, AI and Product Engineering Services. It was founded in 2001, and is headquartered in Rockville, Maryland, USA, with a workforce of 10001+ employees. Its website is https://www.infinite.com.

Company H1B Sponsorship

Infinite Computer Solutions has a track record of offering H1B sponsorships, with 323 in 2026, 563 in 2025, 333 in 2024, 378 in 2023, 316 in 2022, 389 in 2021, 496 in 2020. Please note that this does not guarantee sponsorship for this specific role.