Pharmacy Test Manager

Tech Mahindra Americas Inc
  • Remote
  • $120,000–$140,000 Per Year
  • Full-time
  • Quick Apply
4 days ago

Job Description

Job Description

Looking  for QA Manager / QA Program Manager with demonstrated experience in driving end to end QA activities. Strong Pharmacy knowledge, stake holder management experience is a must for this role.

Position Summary
We are seeking an experienced DDI Pharmacy QA Manager to lead Quality Assurance activities for a State Medicaid Drug Data Interchange (DDI) implementation. The ideal candidate will have deep experience in Medicaid pharmacy operations, claims adjudication, NCPDP standards, and end-to-end testing of pharmacy systems.


This individual will establish the testing strategy, build the QA team, define processes, engage with state stakeholders, and ensure high-quality delivery across the Pharmacy DDI implementation.

Job Responsibilities

Leadership

  • Lead all QA activities for Pharmacy DDI implementation.
  • Develop and execute the overall testing strategy and roadmap.
  • Build and mentor a high-performing Pharmacy QA team.
  • Establish QA governance, metrics, and reporting.
  • Drive defect triage and production readiness.

Functional Testing

  • Validate Pharmacy DDI business processes including:
  • Eligibility
  • Claims adjudication
  • Prior Authorization
  • DUR (Drug Utilization Review)
  • Drug Rebates
  • Managed Care encounters
  • Coordination of Benefits
  • Medicare Part D crossover
  • Financial reconciliation

Integration Testing

  • Validate interfaces between:
  • PBMs
  • Pharmacy POS
  • MMIS
  • Provider systems
  • Member systems
  • CMS interfaces
  • State Financial Systems
  • Drug rebate vendors

Test Management

  • Prepare:
  • Test Strategy
  • Test Plans
  • Test Scenarios
  • Test Cases
  • RTM
  • Defect Management Process
  • Lead:
  • SIT
  • System Testing
  • End-to-End Testing
  • UAT Support
  • Regression Testing
  • Production Validation
  • Stakeholder Management
  • Collaborate with: State Medicaid Agency, Business SMEs, Pharmacy Operations, PBM teams, Development teams, Vendors

Quality Governance

  • Monitor QA KPIs including:
  • Test coverage
  • Defect leakage
  • Defect aging
  • Test execution progress
  • Automation coverage
  • Release readiness
     

Numbers & Facts

Location (
Remote
)
Job TypeFull-time
Salary$120,000–$140,000 Per Year

Qualifications

Technical Skills
REST APIs
Batch processing
EDI
XML/JSON
Database validation
HL7/FHIR (preferred)

Desired Experience
Experience supporting one or more Medicaid systems

Education
Bachelor’s degree in Computer Science, Healthcare, Pharmacy, or related field.
ISTQB or equivalent QA certification preferred.
PMP or Agile certification is a plus.

Success Profile

  • The successful candidate will:Bring a proven playbook for Pharmacy DDI testing.
  • Build delivery confidence with the State from the outset.
  • Establish scalable QA processes and governance.
  • Mentor and rapidly ramp a high-performing QA team.
  • Ensure predictable, high-quality releases with minimal production defects.
  • This role is ideal for a seasoned QA leader who has “been there and done that” on
  • State Medicaid Pharmacy implementations and can help establish a best-in-class Pharmacy testing organization.

Skills

  • DDI Pharmacy QA Manager
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Skills

  • Adjudicationunmatched
  • Medicaidunmatched
  • Pharmacyunmatched
  • Quality Assuranceunmatched
  • Quality Managementunmatched
  • Strategic Planningunmatched
  • Team Buildingunmatched
  • Team Lead/Managerunmatched
  • Test Strategyunmatched
  • Testingunmatched

About Company

At Tech Mahindra (Tech Mahindra | Connected World, Connected Experiences), we live the philosophy of connected world and connected experiences. We thrive on change that is powered by the intelligent symphony of technology and humans designing meaningful and sustainable experiences. Consumer ‘experiences’ are driving and disrupting industries like never before. Businesses must build seamless yet simple enterprises that collaborate, synergize, and drive the change. Change that connects us all and empowers us to deliver experiences that span across the digital, the physical, the convergent, and everything in between. That’s when truly connected experiences manifest.

Extraordinary is when experiences come together – a continuous convergence of digital technologies, touchpoints, and most importantly people. It’s time to reimagine, reinvent, and revolutionize business models & operations as well as to transform enterprises into living, breathing, and connected businesses. We are the Digital Change makers who strive to change the way the world, communities, businesses, and humans interact digitally. We are harnessing the power of change, brought in by technologies, that makes it the most exciting time to be alive in the human history. Our universe, as we build it, disrupt it, and redesign it, is powering the digital change.

 

Tech Mahindra represents the connected world, offering innovative and customer-centric information technology experiences, enabling Enterprises, Associates, and the Society to Rise. It has 150,000+ professionals working for 1000+ Global Customers (including Fortune 500 companies) in 90 Countries. We’re part of the esteemed Mahindra group, headquartered in India. Under a new CEO, Tech Mahindra is committed to a transformative journey with 'Scale @ Speed' as our guiding principle.

 

Tech Mahindra is an Equal Employment Opportunity employer. We promote and support a diverse workforce at all levels of the company. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, age, national origin, or disability. All applicants will be evaluated solely on the basis of their ability, competence, and performance of the essential functions of their positions with or without reasonable accommodations. Reasonable accommodations also are available in the hiring process for applicants with disabilities. Candidates can request a reasonable accommodation by contacting the company ADA Coordinator at ADA_Accomodations@TechMahindra.com.

 

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