[Remote] QA Test Lead – Healthcare (PBM / RxClaim)
Note: The job is a remote job and is open to candidates in USA. Cognizant is a leading provider of technology solutions, and they are seeking a QA Test Lead for Healthcare (PBM / RxClaim). In this role, you will drive the end-to-end quality assurance strategy and execution for complex Pharmacy Benefit Management platforms, ensuring high-quality technology solutions that support patient and provider outcomes.
Responsibilities
- Lead end-to-end test strategy, planning, and execution for complex PBM applications, ensuring timely and high-quality releases
- Coordinate Agile testing activities across squads and sprints, maintaining traceability from requirements to test coverage and defect resolution using Jira and TestRail
- Define and optimize test strategies, plans, and governance frameworks, aligning with regulatory requirements and business priorities
- Oversee functional, regression, integration, and user acceptance testing for core PBM workflows such as eligibility, formulary, claims adjudication, and member services
- Drive API and REST interface testing to ensure reliable integration across healthcare platforms and partner systems
Skills
- 10+ years of experience in software testing, including leading testing efforts for enterprise Healthcare or PBM platforms
- Strong expertise in RxClaim (AS400), EZQuery, and EZTest, with hands-on experience in healthcare ecosystems
- Proven ability to lead end-to-end QA lifecycle, including test strategy, planning, execution, and reporting
- Experience managing Agile testing delivery using tools such as Jira and TestRail
- Strong understanding of PBM workflows including eligibility, formulary, claims adjudication, and member services
- Hands-on experience with API and REST services testing
- Solid experience in test metrics, quality governance, defect management, and continuous improvement initiatives
- Ability to collaborate with cross-functional teams and influence quality early in the software development lifecycle
- Experience in risk management, regulatory alignment, and quality assurance controls
- Bachelor's degree in a relevant field or equivalent experience
- Experience driving large-scale program delivery, including ownership of timelines, quality, and KPIs
- Strong exposure to test automation strategies, reusable test frameworks, and regression optimization
- Proficiency in SQL testing and advanced API validation techniques
- Demonstrated ability to influence senior stakeholders and leadership teams
- Experience leading QA transformation and continuous improvement initiatives
- Strong client engagement and stakeholder management skills with a focus on delivering business value
- Excellent communication and presentation skills, including executive-level reporting
Benefits
- Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
Company Overview