Manual QA Engineer

Manual QA Engineer The Manual QA Engineer is responsible for helping protect the accuracy, reliability, and quality of Liviniti's pharmacy benefit technology by thoroughly validating claims adjudication logic, benefit configurations, system functionality, and end-to-end business processes before changes reach production. This role develops and executes detailed manual testing across complex PBM scenarios, identifies and clearly documents defects, verifies that fixes perform as intended, and partners closely with business analysts, developers, configuration teams, and other stakeholders throughout the software development and release lifecycle. Through careful testing, sound judgment, and a strong understanding of pharmacy claims and benefit design, the Manual QA Engineer helps reduce production risk and supports dependable outcomes for Liviniti, our clients, and the members we serve. Design, write, and execute manual test cases and test plans covering claims adjudication, pricing, formulary, accumulators, prior authorization, and benefit plan configuration.
• Validate claim outcomes (paid, rejected, reversed) against expected adjudication logic and plan setup.
• Perform regression, functional, and end-to-end testing across releases and configuration changes.
• Identify, document, and track defects with clear reproduction steps, expected vs. Collaborate with business analysts, developers, and configuration teams to clarify requirements and validate fixes.
• Test edge cases involving copay structures, DUR, accumulator resets, coordination of benefits, and vendor integrations.
• Maintain and update test documentation, test data sets, and traceability to requirements.
• 3–5 years of manual QA testing experience within a PBM, health plan, or pharmacy claims environment
• Hands-on experience testing claims adjudication systems and pharmacy benefit configurations
• Working knowledge of pharmacy claims concepts: NCPDP claim formats, formulary/tiering, copay/coinsurance logic, accumulators, DUR, prior authorization, and rebates.
• Strong ability to write clear, structured test cases and defect reports.
• Azure DevOps, Jira, TestRail, or similar)
• Solid understanding of the software QA lifecycle (test planning, execution, regression, UAT)
• Medical, Dental and Vision insurance
• Disability and Life insurance
• Employee Assistance Program
• Remote work options
• Retirement Plan with company match imme4diatley 100% vested Full-time/Salaried/Exempt.
• Ability to work extended hours, weekends, and holidays pursuant with industry demands Travel  -This position has no travel expectations. Familiarity with SQL for querying claims and configuration data to validate test results.
• Experience testing across multiple PBM platforms or claims switch vendors.
• Understanding of HIPAA and PHI handling requirements in a testing environment
• Exposure to Agile/Scrum development processes Liviniti, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Liviniti LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Liviniti, LLC expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.