Note: The job is a remote job and is open to candidates in USA. Infinite Computer Solutions is a global leader in digital engineering and IT services, specializing in driving digital transformation for Fortune 1000 companies. They are seeking an experienced Quality Assurance Analyst to ensure compliance with healthcare regulatory standards and validate system functionality related to pharmacy transactions and ePrescribing workflows.
Responsibilities
- Perform comprehensive QA testing for pharmacy, ePrescribing, and Medicaid‑related applications
- Validate system compliance with key U.S. Department of Health and Human Services (HHS) rulings, including:
- CMS‑0056‑F: Retail Pharmacy Standard and Medicaid Pharmacy Subrogation Standard
- CMS‑4205‑F: ePrescribing (eRx) compliance with NCPDP SCRIPT and NCPDP Formulary & Benefit Standards
- Develop detailed test plans, test cases, and test scripts aligned with regulatory requirements
- Conduct functional, integration, regression, and end‑to‑end testing for pharmacy and eRx workflows
- Validate data mapping, data transformations, and file formats used in pharmacy transactions
- Collaborate with business analysts, developers, and compliance teams to interpret regulatory requirements and ensure accurate implementation
- Analyze defects, document findings, and work with technical teams to drive timely resolution
- Participate in requirement reviews, design discussions, and sprint ceremonies
- Support audit activities, compliance documentation, and regulatory reporting as needed
- Stay current on CMS, NCPDP, and HHS regulatory updates impacting pharmacy and ePrescribing systems
Skills
- Strong knowledge of U.S. healthcare regulatory standards
- Knowledge of pharmacy compliance requirements
- Understanding of electronic prescribing (eRx) workflows
- Hands-on QA experience
- Solid understanding of CMS rulings
- Understanding of NCPDP standards governing pharmacy transactions
- Experience with subrogation and ePrescribing
- Ability to perform comprehensive QA testing for pharmacy, ePrescribing, and Medicaid-related applications
- Ability to validate system compliance with key U.S. Department of Health and Human Services (HHS) rulings
- Experience developing detailed test plans, test cases, and test scripts aligned with regulatory requirements
- Experience conducting functional, integration, regression, and end-to-end testing for pharmacy and eRx workflows
- Ability to validate data mapping, data transformations, and file formats used in pharmacy transactions
- Ability to collaborate with business analysts, developers, and compliance teams
- Ability to analyze defects and document findings
- Experience participating in requirement reviews, design discussions, and sprint ceremonies
- Ability to support audit activities, compliance documentation, and regulatory reporting
- Ability to stay current on CMS, NCPDP, and HHS regulatory updates impacting pharmacy and ePrescribing systems
- RX Claims
- Drug Utilization Review
- Drug Rebate
- Preferred Drug List
- Drug Reference
- Prior Authorization
Company Overview
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