Endava

pharmacy benefits management (PBM) systems

QALead

Colorado Springs, Colorado, United States; United States; United Kingdom FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for mid candidates.

The Brief

“QA Lead at Endava. Skills: QA Leadership, RxCLAIM expertise, PBM domain knowledge. Lead end-to-end QA activities for RxCLAIM-based applications, including test strategy, planning, execution, and defect management. Act as the QA point of contact for PBM/RxCLAIM initiatives, collaborating closely with business analysts, developers, and product owners”

What You'll Achieve.

ensuring high-quality delivery across complex healthcare platforms; driving innovation; transform businesses

Industry & Context.

pharmacy benefits management (PBM) systems
Problems you'll solve

Excellent analytical, problem-solving, and communication skills

Eligibility Requirements

Participation in both internal meetings and external meetings via video calls, as necessary., Ability to go into corporate or client offices to work onsite, as necessary., Prolonged periods of remaining stationary at a desk and working on a computer, as necessary., Ability to bend, kneel, crouch, and reach overhead, as necessary., Hand-eye coordination necessary to operate computers and various pieces of office equipment, as necessary., Vision abilities including close vision, toleration of fluorescent lighting, and adjusting focus, as necessary., For positions that require business travel and/or event attendance, ability to lift 25 lbs, as necessary., For positions that require business travel and/or event attendance, a valid driver’s license and acceptable driving record are required, as driving is an essential job function.

What They're Looking For.

Must Have

8+ years of experience in QA/testing, at least 3–4 years in a QA Lead role, hands-on experience with RxCLAIM (claims processing, plan setup, pricing, benefits, accumulators, DUR, PA), Solid understanding of PBM and pharmacy domain concepts, knowledge of test management and defect tracking tools (e. g. , ALM, Jira, Zephyr, qTest), Excellent analytical, problem-solving, and communication skills, Proven experience leading teams and coordinating with cross-functional stakeholders

Nice to Have

Experience with test automation tools and frameworks, Exposure to other PBM platforms (e. g. , QNXT, Facets, ICD), Experience working in Agile/Scrum environments, ISTQB or similar QA certification

What You'll Do.

Lead end-to-end QA activities for RxCLAIM-based applications

including test strategy

and defect management

Act as the QA point of contact for PBM/RxCLAIM initiatives

collaborating closely with business analysts

Define and enforce QA processes

and best practices across projects

Review and validate business requirements

functional specifications

and technical designs from a QA perspective

Design and oversee test scenarios

and test data covering eligibility

and prior authorization

Lead and mentor QA analysts

providing guidance on RxCLAIM workflows and testing techniques

and regression testing

including support for business and client UAT cycles

Ensure compliance with healthcare regulations and industry standards (HIPAA

Track test execution metrics

and quality report status to stakeholders

Support automation initiatives by identifying regression candidates and working with automation teams

Participate in release planning

production validation

and post-release defect analysis

How You'll Work.

Team & Collaboration

collaborating closely with business analysts, developers, and product owners; coordinating with cross-functional stakeholders; working with automation teams

Communication Scope

Excellent analytical, problem-solving, and communication skills; communication skills

Process & Methodology

test strategy, test planning, defect management, release planning

Full Job Description

Technology is our how. And people are our why. For over two decades, we have been harnessing technology to drive meaningful change. By combining world-class engineering, industry expertise and a people-centric mindset, we consult and partner with leading brands from various industries to create dynamic platforms and intelligent digital experiences that drive innovation and transform businesses. From prototype to real-world impact - be part of a global shift by doing work that matters. We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems, with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership, ensuring high-quality delivery across complex healthcare platforms. Key Responsibilities * Lead end-to-end QA activities for RxCLAIM-based applications, including test strategy, planning, execution, and defect management * Act as the QA point of contact for PBM/RxCLAIM initiatives, collaborating closely with business analysts, developers, and product owners * Define and enforce QA processes, standards, and best practices across projects * Review and validate business requirements, functional specifications, and technical designs from a QA perspective * Design and oversee test scenarios, test cases, and test data covering eligibility, claims adjudication, pricing, formularies, benefits, accumulators, and prior authorization * Lead and mentor QA analysts, providing guidance on RxCLAIM workflows and testing techniques * Coordinate SIT, UAT, and regression testing, including support for business and client UAT cycles * Ensure compliance with healthcare regulations and industry standards (HIPAA, CMS, etc.) * Track test execution metrics, defect trends, and quality KPIs; report status to stakeholders * Support automation initiatives by identifying regression candidates and working with automation teams * Participate in release pla

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