QA Engineer

Liviniti

. Protect the accuracy, reliability, and quality of Liviniti's pharmacy benefit technology .

Posted 10/7/2026full-timeDallas • Texas • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in manual QA testing within pharmacy benefit management, focusing on claims adjudication systems and pharmacy benefit configurations. Proficient in writing structured test cases, defect reports, and collaborating with cross-functional teams to ensure quality and compliance with industry standards.

Highest-signal resume keywords

Manual QA TestingClaims Adjudication SystemsTest Case ManagementNCPDP Claim FormatsSQL Querying

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Hard Skills

Manual QA TestingTest Case WritingDefect TrackingRegression TestingFunctional TestingEnd-to-End TestingRequirements TraceabilityTest DocumentationClaims Adjudication LogicPharmacy Benefit Configurations

Soft Skills

Attention to DetailWritten CommunicationVerbal CommunicationCollaboration

Tools & Technologies

Azure DevOpsJiraTestRailAgile/Scrum

Industry Keywords

PBMHealth PlanPharmacy ClaimsHIPAAPHIDURPrior AuthorizationCopay StructuresAccumulatorsRebates

Tech Stack

Tools & technologies

AzureSQL

About the role

Key responsibilities & impact

Protect the accuracy, reliability, and quality of Liviniti's pharmacy benefit technology
Design, write, and execute manual test cases and test plans covering claims adjudication, pricing, formulary, accumulators, prior authorization, and benefit plan configuration
Validate paid, rejected, and reversed claim outcomes 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 reproduction steps, expected versus actual behavior, and business impact
Collaborate with business analysts, developers, configuration teams, and stakeholders to clarify requirements and validate fixes
Test edge cases involving copay structures, DUR, accumulator resets, coordination of benefits, and vendor integrations
Maintain test documentation, test data sets, and requirements traceability
Participate in Stage cycles and support release sign-off decisions
No supervisory responsibilities
No travel expectations

Requirements

What you’ll need

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 NCPDP claim formats, formulary/tiering, copay/coinsurance logic, accumulators, DUR, prior authorization, and rebates
Ability to write clear, structured test cases and defect reports
Experience with test case management and defect tracking tools such as Azure DevOps, Jira, TestRail, or similar
Understanding of the software QA lifecycle, including test planning, execution, regression, and UAT
Attention to detail and ability to spot discrepancies in complex rule-based systems
Written and verbal communication skills for cross-functional collaboration
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
Availability during core work hours of 8:00 AM to 5:00 PM CT
Ability to work extended hours, weekends, and holidays pursuant with industry demands

Benefits

Comp & perks

Medical, Dental and Vision insurance
Disability and Life insurance
Employee Assistance Program
Remote work options
Generous Paid-Time Off
Annual Reviews and Development Plans
Retirement Plan with company match immediately 100% vested
Some flexibility in hours is allowed