Test Analyst – Healthcare / PBM

Summary

Apolis is seeking a Test Analyst to support healthcare and Pharmacy Benefit Management (PBM) testing. The role focuses on manual and functional testing, healthcare and PBM requirements analysis, RxClaims and benefit workflow validation, defect management, SQL-based data validation, and communication with stakeholders.

Responsibilities

• Plan, execute, and manage manual and functional testing activities
• Analyze healthcare and PBM business requirements and develop appropriate test scenarios and test cases
• Perform testing related to RxClaims (AS400) and healthcare benefit processes
• Validate clinical and pharmacy benefit workflows
• Identify, document, track, and communicate defects through resolution
• Use SQL queries for data validation and testing when required
• Work collaboratively with business users, development teams, QA teams, and senior leadership
• Prioritize multiple assignments and ensure testing activities are completed within deadlines
• Define problems, collect and analyze data, establish facts, and draw valid conclusions
• Support continuous improvement of QA processes and testing methodologies
• Communicate testing status, risks, issues, and results clearly to stakeholders

Skills

• * **PBM (Pharmacy Benefit Management)**
• * **Clinical Knowledge**
• * **RxClaims (AS400)**
• * **Manual Testing**
• * Healthcare domain experience
• * Experience with **.NET/C# as an SDET**
• * Knowledge of **Health Plan Benefit Structures**
• * Experience with **SQL and SQL Queries**
• * Knowledge of **EZQuery and EZTest**
• * Knowledge of **myPBM** is a plus
• * Understanding of **Federal and State Healthcare agencies and legislation**
• * 3–4 years of experience in **Healthcare/PBM testing**
• * Hands-on experience with **RxClaims, EZQuery, and EZTest**
• * Understanding of healthcare legislation and the role of Federal and State agencies
• * Strong analytical and problem-solving skills
• * Excellent verbal and written communication skills
• * Strong organization, prioritization, and project management abilities
• * Ability to collaborate effectively with cross-functional teams and senior stakeholders
• * Professional and team-oriented approach

Qualifications

Must Haves

• * **PBM (Pharmacy Benefit Management)**
• * **Clinical Knowledge**
• * **RxClaims (AS400)**
• * **Manual Testing**
• * Healthcare domain experience
• * Experience with **.NET/C# as an SDET**
• * Knowledge of **Health Plan Benefit Structures**
• * Experience with **SQL and SQL Queries**
• * Knowledge of **EZQuery and EZTest**
• * Knowledge of **myPBM** is a plus
• * Understanding of **Federal and State Healthcare agencies and legislation**

Nice to Haves

• * 3–4 years of experience in **Healthcare/PBM testing**
• * Hands-on experience with **RxClaims, EZQuery, and EZTest**
• * Understanding of healthcare legislation and the role of Federal and State agencies
• * Strong analytical and problem-solving skills
• * Excellent verbal and written communication skills
• * Strong organization, prioritization, and project management abilities
• * Ability to collaborate effectively with cross-functional teams and senior stakeholders
• * Professional and team-oriented approach

Benefits

• Hybrid work model