Country/Region:
IN
Requisition ID:
38936
Work Model:
Position Type:
Salary Range:
Location:
INDIA - BENGALURU - BIRLASOFT OFFICE
Title: Technical Specialist-Testing Services
Description:
Area(s) of responsibility
- Minimum of 4+ years of QA experience with PBM / pharmacy claims domain knowledge
- Experience in writing SQL queries for data validation
- Ability to design and execute test cases, test scenarios, and test data
- Hands-on experience in validating end-to-end pharmacy claims lifecycle, including:
- Member eligibility and benefit verification
- Pharmacy/provider validation (NPI, NCPDP ID)
- Real-time POS claims adjudication
- Pricing logic (AWP, MAC, ingredient cost, dispensing fee, copay, accumulators)
- Experience in testing scenarios involving:
- Coordination of Benefits (COB) / Other Payer
- Prior Authorization (PA)
- Formulary and benefit plan rules
- Specialty and retail pharmacy claim