Technical Specialist-Testing Services

Birlasoft
Bengaluru
Workplace: OnsiteFull timeFunction: Solutions Engineering & Sales EngineeringExperience: 4+ yearsSkills: ["Attention to detail","Test design","Data validation"]

Own QA efforts for end-to-end pharmacy claims processing, validating member eligibility, provider identifiers (NPI/NCPDP), real-time POS adjudication, and pricing logic such as AWP, MAC, ingredient cost, dispensing fees, copays, and accumulators. Design and execute test cases, scenarios, and test data, including COB/other payer, prior authorization, formulary and benefit plan rules, and specialty/retail pharmacy claim flows. Use SQL for data validation.

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FursaFursa
Birlasoft
Birlasoft
1 day ago

Technical Specialist-Testing Services

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Source: Company careers pageValidated by: Fursa AI
Last checked: 41 minutes agoStatus: Live

Job Summary

Own QA efforts for end-to-end pharmacy claims processing, validating member eligibility, provider identifiers (NPI/NCPDP), real-time POS adjudication, and pricing logic such as AWP, MAC, ingredient cost, dispensing fees, copays, and accumulators. Design and execute test cases, scenarios, and test data, including COB/other payer, prior authorization, formulary and benefit plan rules, and specialty/retail pharmacy claim flows. Use SQL for data validation.
Location: Bengaluru
Workplace: Onsite
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Validate end-to-end pharmacy claims lifecycle, including member eligibility and benefit verification.
  • •Verify pharmacy/provider details using identifiers like NPI and NCPDP ID.
  • •Test real-time POS claims adjudication and related pricing logic (AWP, MAC, ingredient cost, dispensing fee, copay, accumulators).
  • •Design and execute test cases, test scenarios, and prepare test data.
  • •Validate claims scenarios for COB/Other Payer, Prior Authorization, and formulary/benefit plan rules, including specialty and retail claims.

Key Requirements

  • •Minimum 4+ years of QA experience with PBM/pharmacy claims domain knowledge.
  • •Ability to write SQL queries for data validation.
  • •Ability to design and execute test cases, test scenarios, and test data.
  • •Hands-on experience validating end-to-end pharmacy claims lifecycle.
  • •Experience testing scenarios including COB/Other Payer, Prior Authorization, and formulary/benefit plan rules.
Experience:4+ yearsPBMPharmacy claims
Skills:Attention to detailTest designData validation
Tech Stack:SQL

Company Brief

Birlasoft
Birlasoft is a global IT services and digital solutions provider delivering consulting, enterprise applications, cloud, and infrastructure services to enterprises across industries, helping accelerate digital transformation and business modernization.
Industry: Professional Services
Company Size: Enterprise (1,001+ employees)
Revenue: USD 500M to 1B
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: Noida, India
WebsiteLinkedIn