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Pbm Quality Assurance Jobs (NOW HIRING)

NAVA Software Solutions

QA Lead

Morris Plains, NJ · On-site

NAVA Software is looking for a QA Lead Details: QA Lead Location: Morris Plains, NJ, St. Louis, MO ... Familiarity with PBM products, end-to-end business process flow, including regulatory, privacy, and ...

Capital Rx

QA Manager

Charlotte, NC · On-site

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The QA Manager works closely with product, engineering, and leadership stakeholders to define and ...

Capital Rx

QA Manager

Manhattan, NY · On-site

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The QA Manager works closely with product, engineering, and leadership stakeholders to define and ...

Capital Rx

QA Manager

Denver, CO · On-site

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The QA Manager works closely with product, engineering, and leadership stakeholders to define and ...

Dane Street, LLC

Pharmacy QA Specialist

Job Summary The Pharmacy QA Specialist plays a critical role in the pharmacy review process, supporting PBM clients by ensuring the accuracy, completeness, and quality of pharmacy-related ...

Navtech, Inc.

QA AUTOMATION ARCHITECT

Hartford, CT · On-site

QA Automation Architect Hartford, CT (Remote until COVID) 12 Months Contract Need to have at least ... the PBM industry. • Expert-level system test automation experience. • Excellent verbal and ...

Apex Informatics

QA Lead

Morristown, NJ · On-site

Position: QA Lead Location: Morristown, NJ/Austin, TX/Memphis, TN (Hybrid-2 Days Onsite) Duration: 12 Months (Contract) Need Pharmacy/PBM (Pharmacy Benefit Manager)/ Health Payer Experience (Any One ...

Capital Rx

Technical QA Analyst II

Manhattan, NY · On-site

$95K - $119K/yr

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The Technical QA Analyst II is a critical contributor to delivering high-quality products within ...

Capital Rx

Technical QA Analyst II

Denver, CO · On-site

$95K - $119K/yr

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The Technical QA Analyst II is a critical contributor to delivering high-quality products within ...

Capital Rx

Technical QA Analyst II

Charlotte, NC · On-site

$95K - $119K/yr

Judi Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... The Technical QA Analyst II is a critical contributor to delivering high-quality products within ...

SmithRx

Pharmacy Benefits QA Analyst

Plano, TX · On-site +1

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... As a Benefits Quality Assurance Analyst, you will be responsible for overseeing the core operations ...

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Pbm Quality Assurance information

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How much do pbm quality assurance jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for pbm quality assurance in the United States is $22.83, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

What are some common challenges faced by PBM Quality Assurance professionals, and how can they be addressed?

PBM Quality Assurance professionals often encounter challenges such as keeping up with frequent regulatory changes, ensuring claims accuracy, and managing large volumes of data. Staying organized and continually updating knowledge on industry standards, such as CMS and URAC requirements, are essential strategies. Collaboration with cross-functional teams, like pharmacy operations and compliance, helps to resolve discrepancies efficiently and maintain high-quality service standards. Regular training and clear communication channels also play a key role in overcoming these challenges.

What are the key skills and qualifications needed to thrive as a PBM Quality Assurance professional, and why are they important?

To thrive as a PBM (Pharmacy Benefit Management) Quality Assurance professional, you need a strong understanding of pharmacy operations, regulatory compliance, and quality management principles, typically supported by a degree in pharmacy, healthcare, or a related field. Familiarity with claims processing systems, auditing tools, and industry-standard quality assurance methodologies such as Six Sigma is often required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying errors and working with cross-functional teams. These skills ensure regulatory compliance, accuracy in claims processing, and the delivery of high-quality pharmacy benefits to clients and members.

What is PBM Quality Assurance?

PBM Quality Assurance refers to the processes and practices used to ensure the accuracy, safety, and compliance of pharmacy benefit management (PBM) services. This role typically involves monitoring prescription drug claims, verifying adherence to regulatory standards, and improving workflows to optimize patient outcomes. Quality assurance professionals in PBM work to detect errors, prevent fraud or abuse, and ensure that clients and members receive high-quality pharmaceutical care.

What is the difference between Pbm Quality Assurance vs Pbm Quality Control?

AspectPbm Quality AssurancePbm Quality Control
FocusProcesses and systems to prevent defectsInspection and testing of products to identify defects
ResponsibilitiesDeveloping quality standards, audits, process improvementsSampling, testing, and verifying product quality
CredentialsQuality certifications, industry-specific trainingTechnical testing certifications, lab skills
Work EnvironmentDocumentation, process review, auditsLaboratory, production lines, inspection areas

While Pbm Quality Assurance focuses on preventing defects through process improvements and standards, Pbm Quality Control emphasizes inspecting and testing products to identify defects. Both roles are essential for maintaining product quality but differ in approach and responsibilities.

More about Pbm Quality Assurance jobs
What cities are hiring for Pbm Quality Assurance jobs? Cities with the most Pbm Quality Assurance job openings:
What states have the most Pbm Quality Assurance jobs? States with the most job openings for Pbm Quality Assurance jobs include:
What job categories do people searching Pbm Quality Assurance jobs look for? The top searched job categories for Pbm Quality Assurance jobs are:
Pbm Quality Assurance jobs near you
Infographic showing various Pbm Quality Assurance job openings in the United States as of July 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 53% In-person, and 47% Remote job distribution, with an average salary of $47,496 per year, or $22.8 per hour.
QA Lead

QA Lead

NAVA Software Solutions

Morris Plains, NJ • On-site

Full-time

Posted 9 days ago

Job description

NAVA Software is looking for a QA Lead
Details:
QA Lead
Location: Morris Plains, NJ, St. Louis, MO, Bloomfield, CT, Austin, TX, or Dallas, TX (Hybrid)
Duration: 6-12 months
Required
  • 10+ years of QA experience and 4+ years of working as a QA lead with a proven track record of driving QA programs with multiple QA end-to-end testing teams particularly in coordination with multiple existing teams of developers and product owners.
  • Experienced in working as QA lead on projects involving NCPDP formats including D0 and F6 formats.
  • Strong ability to lead through influence across matrixed organizations, aligning stakeholders without direct authority.
  • Familiarity with PBM products, end-to-end business process flow, including regulatory, privacy, and interoperability considerations.
  • Excellent communication, prioritization, and execution skills.

Desired:
  • Background in PBM domain, especially in Claims processing, integration with external entities, NCPDP formats.
  • Strong systems thinking with the ability to balance near-term delivery with long-term scalability.
  • Comfort working in ambiguous environments with evolving business and technical constraints
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About NAVA Software Solutions

Sourced by ZipRecruiter

NAVA is a strategic partner for companies seeking to develop or customize software and products. Our team of experts leverages cutting-edge technology and deep industry knowledge to provide customized solutions that drive business success. Whether you're looking to improve your operations, increase efficiency, or bring a new product to market, NAVA has the expertise and resources to help you achieve your goals. Trust us to be your partner in software and product development.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Rocky Hill, CT, US

Social media

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