QALead

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