Full Time Rxclaim Jobs (NOW HIRING)

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By combining world-class engineering, industry expertise and a people-centric mindset, we consult and partner with leading brands from various industries to create dynamic platforms and intelligent digital experiences that drive innovation and transform businesses.
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We are seeking an experienced RxCLAIM QA Lead to lead quality assurance activities for pharmacy benefits management (PBM) systems, with a strong focus on RxCLAIM. The ideal candidate will combine deep domain expertise in pharmacy claims with hands-on QA leadership, ensuring high-quality delivery across complex healthcare platforms.

Key Responsibilities

• 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

• 8+ years of experience in QA/testing, with at least 3-4 years in a QA Lead role
• Strong hands-on experience with RxCLAIM (claims processing, plan setup, pricing, benefits, accumulators, DUR, PA)
• Solid understanding of PBM and pharmacy domain concepts
• Strong knowledge of test management and defect tracking tools (e.g., ALM, Jira, Zephyr, qTest)
• Excellent analytical, problem-solving, and communication skills
• Proven experience leading teams and coordinating with cross-functional stakeholders

Preferred Qualifications

• Experience with test automation tools and frameworks
• Exposure to other PBM platforms (e.g., QNXT, Facets, ICD)
• Experience working in Agile/Scrum environments
• ISTQB or similar QA certification

Discover some of the global benefits that empower our people to become the best version of themselves:

• Finance: Competitive salary package, share plan, company performance bonuses, value-based recognition awards, referral bonus;   
• Career Development: Career coaching, global career opportunities, non-linear career paths, internal development programmes for management and technical leadership;
• Learning Opportunities: Complex projects, rotations, internal tech communities, training, certifications, coaching, online learning platforms subscriptions, pass-it-on sessions, workshops, conferences;
• Work-Life Balance: Hybrid work and flexible working hours, employee assistance programme;
• Health: Global internal wellbeing programme, access to wellbeing apps;
• Community: Global internal tech communities, hobby clubs and interest groups, inclusion and diversity programmes, events and celebrations.

Additional Employee Requirements  

• Participation in both internal meetings and external meetings via video calls, as necessary. 
• Ability to go into corporate or client offices to work onsite, as necessary. 
• Prolonged periods of remaining stationary at a desk and working on a computer, as necessary. 
• Ability to bend, kneel, crouch, and reach overhead, as necessary. 
• Hand-eye coordination necessary to operate computers and various pieces of office equipment, as necessary. 
• Vision abilities including close vision, toleration of fluorescent lighting, and adjusting focus, as necessary. 
• For positions that require business travel and/or event attendance, ability to lift 25 lbs, as necessary. 
• For positions that require business travel and/or event attendance, a valid driver's license and acceptable driving record are required, as driving is an essential job function.

*If requested, reasonable accommodations will be made to enable employees requiring accommodations to perform the essential functions of their jobs, absent undue hardship.   

USA Benefits (Full time roles only, does not apply to contractor positions)

• Robust healthcare and benefits including Medical, Dental, vision, Disability coverage, and various other benefit options  
• Flexible Spending Accounts (Medical, Transit, and Dependent Care)  
• Employer Paid Life Insurance and AD&D Coverages  
• Health Savings account paired with our low-cost High Deductible Medical Plan  
• 401(k) Safe Harbor Retirement plan with employer match with immediately vest   

At Endava, we're committed to creating an open, inclusive, and respectful environment where everyone feels safe, valued, and empowered to be their best. We welcome applications from people of all backgrounds, experiences, and perspectives-because we know that inclusive teams help us deliver smarter, more innovative solutions for our customers. Hiring decisions are based on merit, skills, qualifications, and potential. If you need adjustments or support during the recruitment process, please let us know.