Technical Specialist-Testing Services (Bengaluru)

Technical Specialist-Testing Services (Bengaluru)

29 Aug
|
Birlasoft
|
Bengaluru

29 Aug

Birlasoft

Bengaluru

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 Advantages (COB) / Other Payer

- Prior Authorization (PA)
- Formulary and benefit plan rules

- Specialty and retail pharmacy claim

📌 Technical Specialist-Testing Services (Bengaluru)
🏢 Birlasoft
📍 Bengaluru

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