[Remote] Pharmacy Test Manager – PBM / Medicaid

Note: The job is a remote job and is open to candidates in USA. Infinite Computer Solutions is seeking an experienced Pharmacy Test Manager with strong expertise in PBM and Medicaid pharmacy testing to lead end-to-end testing activities for large-scale healthcare modernization programs. The ideal candidate will have hands-on knowledge of pharmacy claims and proven experience leading QA teams.

Responsibilities

• Lead end-to-end pharmacy testing across SIT, UAT, Regression, Parallel Testing, and Production Validation
• Develop and manage test strategies, test plans, schedules, execution, and governance
• Ensure testing aligns with business requirements, CMS guidelines, and state Medicaid regulations
• Oversee functional validation of:
• Pharmacy Claims Adjudication
• Drug Pricing
• Formulary Management
• Prior Authorization
• Drug Rebate Processing
• NCPDP Transactions
• Pharmacy Financial Reconciliation
• Manage defects and coordinate with business SMEs, vendors, developers, conversion teams, and QA resources
• Ensure testing readiness, defect resolution, and timely execution of testing milestones
• Track and report quality metrics, test progress, risks, issues, and dependencies to leadership and stakeholders
• Provide strong communication and coordination across business and technical teams

Skills

• 8–10+ years of software testing/QA experience
• 3+ years of Test Lead / Test Manager experience
• Strong PBM and/or Medicaid pharmacy domain experience
• Experience working on large-scale DDI, MMIS modernization, or healthcare transformation programs
• Strong expertise in Claims Adjudication
• Strong expertise in NCPDP Transactions
• Strong expertise in Prior Authorization
• Strong expertise in Formulary Management
• Strong expertise in Drug Rebate Processing
• Strong expertise in Pharmacy Financial Validation
• Hands-on experience with ALM and/or JIRA
• Strong SQL skills for data validation and testing
• Excellent leadership, communication, stakeholder management, and problem-solving skills

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.