RD DIGITAL SOLUTIONS LLC·Nursing & Healthcare

QA PBM Test Engineer

Citizenship is required for this position. Visa sponsorship is not available.

United StatesFull-timeOn-site7+ yrs exp

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Posted October 2, 2026

Job Description

QA PBM Test Engineer – Remote (USA)

Level: C06 | Experience:7+ Years | Domain: Healthcare / PBM Project :NCPDP D.0 to F6 Migration

Job Description: Seeking an experienced QA Test Engineer with strong PBM/pharmacy claims testing experience. Hands-on expertise in NCPDP D.0, claims adjudication, eligibility, benefits, pricing, SQL validation, and end-to-end testing is required. NCPDP F6 migration experience is preferred.

Key Skills & Responsibilities:

PBM/Pharmacy Claims & NCPDP D.0 – Mandatory; F6 preferred
Claims submission, reversal, eligibility, benefits, pricing, accumulators & reject codes
Compare D.0/F6 transaction fields and data mappings
Strong SQL/data validation & reconciliation
SIT, UAT, Regression, Parallel & Production Testing
API, Integration & End-to-End testing
Defect tracking and resolution
Collaborate with PBM SMEs, BAs, developers and onshore/offshore teams
Working knowledge of AI automation tools

Required: 7+ years QA/testing experience, preferably Healthcare/PBM, with hands-on pharmacy claims testing, claims adjudication and strong SQL skills. NCPDP D.0 experience is mandatory.

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