Manual QA Engineer – PBM (26-02089) -

100% Remote.

Location

Remote

Duration

Long Term

About the Role

We are seeking an experienced Manual QA Engineer to join our quality assurance team. This role is responsible for validating claims adjudication logic, benefit configurations, and system behavior across our PBM platform to ensure accuracy, compliance, and reliability before releases reach production.

Required Qualifications

• 3–5 years of manual QA testing experience within a PBM, health plan, or pharmacy claims environment
• Hands-on experience testing claims adjudication systems and pharmacy benefit configurations
• Working knowledge of pharmacy claims concepts: NCPDP claim formats, formulary/tiering, copay/coinsurance logic, accumulators, DUR, prior authorization, and rebates
• Strong ability to write clear, structured test cases and defect reports
• Experience with test case management and defect tracking tools (e.g., Azure DevOps, Jira, TestRail, or similar)
• Solid understanding of the software QA lifecycle (test planning, execution, regression, UAT)
• Excellent attention to detail and ability to spot discrepancies in complex rule-based systems
• Strong written and verbal communication skills for cross-functional collaboration

Preferred Qualifications

• Familiarity with SQL for querying claims and configuration data to validate test results
• Experience testing across multiple PBM platforms or claims switch vendors
• Understanding of HIPAA and PHI handling requirements in a testing environment
• Exposure to Agile/Scrum development processes

Job Responsibilities

Key Responsibilities

• Design, write, and execute manual test cases and test plans covering claims adjudication, pricing, formulary, accumulators, prior authorization, and benefit plan configuration
• Validate claim outcomes (paid, rejected, reversed) against expected adjudication logic and plan setup
• Perform regression, functional, and end-to-end testing across releases and configuration changes
• Identify, document, and track defects with clear reproduction steps, expected vs. actual behavior, and business impact
• Collaborate with business analysts, developers, and configuration teams to clarify requirements and validate fixes
• Test edge cases involving copay structures, DUR, accumulator resets, coordination of benefits, and vendor integrations
• Maintain and update test documentation, test data sets, and traceability to requirements
• Participate in Stage cycles and support release sign-off decisions

About Us

InterSources Inc, a Certified Diverse Supplier, was founded in 2007 and offers innovative solutions to help clients with Digital Transformations across various domains and industries. Our history spans over 19 years and today we are an Award-Winning Global Software Consultancy solving complex problems with technology. We recognize that our employees and our clients are our strengths as the diverse talents and opportunities they bring to the table enable us to grow as a global platform and they are causally linked with our success. We provide strategic and technical advice, and we have expertise in areas covering Artificial Intelligence, Cloud Migration, Custom Software Development, Data Analytics Infrastructure & Cloud Solutions, Cyber Security Services, etc. We make reasonable accommodations for clients and employees and we do not discriminate based on any protected attribute including race, religion, color, national origin, gender sexual orientation, gender identity, age, or marital status. We also are a Google Cloud partner company. We align strategy with execution and provide secure service solutions by developing and using the latest technologies that thrive our resources to deliver industry-leading capabilities to our clients and customers, making it convenient for our clients to do business with InterSources Inc. Our teams also drive growth by refining technology-driven client experiences that put the users first, providing an unparalleled experience. This results in strengthening the core technologies of clients, enabling them to scale with flexibility, create seamless digital experiences and build lifelong relationships.