• Ejecutar pruebas funcionales, de regresión e integración para garantizar la calidad y estabilidad de las aplicaciones. • Diseñar y documentar casos de prueba, evidencias y reportes de incidencias de acuerdo con los requerimientos del negocio. • Colaborar con equipos de desarrollo, producto y soporte para validar funcionalidades y asegurar el cumplimiento de los criterios de aceptación.

• Work as Individual team player. • Improve existing Automation framework by building in new features • Create automated scripts for UI and APIs • Identify gaps in the QE process, discuss with team and implement them • Watch for any risks, escalate them and work on mitigating them • Attend Scrum meetings • Do Manual testing on ad-hoc basis

• Review insurance claim files in systems such as Xactanalysis to ensure compliance with carrier SLAs and internal standards • Monitor performance metrics and identify trends or recurring compliance issues • Follow up with franchise locations on quality and compliance gaps, and escalate issues when necessary • Manage the QA inbox and internal communications (Teams), ensuring timely and accurate responses • Support the Quality Assurance team with administrative and coordination tasks • Assist during catastrophe (CAT) events, helping manage increased claim volumes and operational demands • Maintain a strong understanding of client SLA requirements and compliance programs • Additional duties as assigned

• 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 planning, production validation, and post-release defect analysis