Program Manager(Healthcare Domain) | Remote | PBA/PBM Medicaid Enterprise systems

[IRFAN SHAIK]

ROLE: Domain Testing/Program Manager(Healthcare Domain)

Location: Remote  

Note: Primarily on PBA/PBM Medicaid Enterprise systems

 

·         Experience in PBA/PBM (Medicaid) (PBM modules such as member eligibility, benefit plan configuration, formulary, pharmacy POS claims, claims adjudication, prior authorization, utilization manage- ment, pricing, accumulators, pharmacy networks, payment, settlement, and reporting.)

·         Domain test planning, Scope validation, Quality governance, Defect triage,

·         Release readiness & Coordination,

·         Stakeholder coordination

·         Prepare test strategy, plan, estimates, schedule, and entry/exit criteria.

·         Review requirements, maintain RTM, and confirm coverage

·         Guide test design, data readiness, execution, and evidence capture.

·         Lead defect triage, aging review, RCA, retest, and closure.

·         Implementation experience in Al driven testing

 

Thanks & Regards,

Irfan Shaik

P : 972-440-0069

Agile Enterprise Solutions Inc.

2591 Dallas Parkway,Suite 300, Frisco,TX 75034.

Email:  irfan...@aesincus.com   Website: www.aesinc.us.com

[Irfan Shaik]

ROLE: Domain Testing/Program Manager(Healthcare Domain)15+ years 

Location: Remote  

Note: Primarily on PBA/PBM Medicaid Enterprise systems

 

·         Experience in PBA/PBM (Medicaid) (PBM modules such as member eligibility, benefit plan configuration, formulary, pharmacy POS claims, claims adjudication, prior authorization, utilization manage- ment, pricing, accumulators, pharmacy networks, payment, settlement, and reporting.)

·         Domain test planning, Scope validation, Quality governance, Defect triage,

·         Release readiness & Coordination,

·         Stakeholder coordination

·         Prepare test strategy, plan, estimates, schedule, and entry/exit criteria.

·         Review requirements, maintain RTM, and confirm coverage

·         Guide test design, data readiness, execution, and evidence capture.

·         Lead defect triage, aging review, RCA, retest, and closure.

·         Implementation experience in Al driven testing

 

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[IRFAN SHAIK]

Hello,

ROLE: Domain Testing/Program Manager(Healthcare Domain)15+ years 

Location: Remote  

Note: Primarily on PBA/PBM Medicaid Enterprise systems

 

·         Experience in PBA/PBM (Medicaid) (PBM modules such as member eligibility, benefit plan configuration, formulary, pharmacy POS claims, claims adjudication, prior authorization, utilization manage- ment, pricing, accumulators, pharmacy networks, payment, settlement, and reporting.)

·         Domain test planning, Scope validation, Quality governance, Defect triage,

·         Release readiness & Coordination,

·         Stakeholder coordination

·         Prepare test strategy, plan, estimates, schedule, and entry/exit criteria.

·         Review requirements, maintain RTM, and confirm coverage

·         Guide test design, data readiness, execution, and evidence capture.

·         Lead defect triage, aging review, RCA, retest, and closure.

·         Implementation experience in Al driven testing

[Irfan Shaik]

ROLE: Domain Testing/Program Manager(Healthcare Domain)

Location: Remote  

Note: Primarily on PBA/PBM Medicaid Enterprise systems

 

·         Experience in PBA/PBM (Medicaid) (PBM modules such as member eligibility, benefit plan configuration, formulary, pharmacy POS claims, claims adjudication, prior authorization, utilization manage- ment, pricing, accumulators, pharmacy networks, payment, settlement, and reporting.)

·         Domain test planning, Scope validation, Quality governance, Defect triage,

·         Release readiness & Coordination,

·         Stakeholder coordination

·         Prepare test strategy, plan, estimates, schedule, and entry/exit criteria.

·         Review requirements, maintain RTM, and confirm coverage

·         Guide test design, data readiness, execution, and evidence capture.

·         Lead defect triage, aging review, RCA, retest, and closure.

·         Implementation experience in Al driven testing

 

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