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# Domain Testing / Program Manager - PBM/Medicaid

- **Company:** American IT Systems
- **Location:** Plano, TX, United States
- **Experience:** Expert
- **Contract:** Permanent contract
- **Skills:** Artificial Intelligence, Data Analysis, JIRA, Automation of Tests, Microsoft Azure, Health Informatics, Software Bug Management, Code Coverage, Scrum Methodology, Release Management, Requirements Traceability, Test Execution Engine, Test Management, Strategies of Testing, Information Technology
- **Published:** July 3, 2026
- **Apply:** https://www.careerjet.com/jobad/us8c4bf16725cba2d04e116337a41c55c2

## About the Role

PBM/Medicaid domain expertise
Test Management and QA Leadership
Program/Project Management
Defect Management & Root Cause Analysis
Release Management
Stakeholder Management
Requirement Analysis and RTM Management
Test Planning and Estimation
Risk and Issue Management
AI-Driven Testing Tools and Methodologies
Preferred Qualifications
Experience working with Healthcare, Medicaid, or Managed Care organizations.
Knowledge of Agile/Scrum and Waterfall methodologies.
Experience with test management tools such as JIRA, ALM, Azure DevOps, or similar.
Strong communication and leadership skills.
Certifications in PMP, Scrum, ISTQB, or Healthcare domain are a plus.
Education
Bachelor's degree in Computer Science, Information Technology, Healthcare Informatics, or related field.
This role requires a blend of healthcare domain expertise, testing leadership, and program management capabilities to successfully deliver high-quality PBM/Medicaid solutions.

## Description

We are seeking an experienced Domain Testing / Program Manager with strong expertise in Pharmacy Benefit Management (PBM) and Medicaid systems. The ideal candidate will lead end-to-end testing programs, quality assurance initiatives, release management activities, and stakeholder coordination across complex healthcare transformation projects.
Key Responsibilities
Lead domain testing activities for PBM/Medicaid applications and enterprise systems.
Manage test planning, scope validation, resource coordination, and execution oversight.
Develop and maintain test strategies, test plans, estimates, schedules, and entry/exit criteria.
Ensure quality governance through defect triage, risk assessment, issue resolution, and reporting.
Coordinate release readiness activities and support deployment planning.
Collaborate with business stakeholders, product owners, development teams, and vendors to ensure successful delivery.
Review business requirements, maintain Requirement Traceability Matrix (RTM), and ensure complete test coverage.
Guide test design, test execution, data readiness, evidence collection, and reporting activities.
Lead defect management processes including triage, root cause analysis (RCA), retesting, aging reviews, and defect closure.
Drive continuous improvement initiatives in testing processes and quality assurance practices.
Support implementation and adoption of AI-driven testing solutions and automation strategies.
Required Domain Expertise
Strong experience in PBM (Pharmacy Benefit Management) modules including:
Member Eligibility
Benefit Plan Configuration
Formulary Management
Pharmacy POS Claims Processing
Claims Adjudication
Prior Authorization
Utilization Management
Pricing and Reimbursement
Accumulators
Pharmacy Networks
Payment & Settlement
Reporting and Analytics


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