Imran Waheed
A decade of ensuring software quality across America's largest pharmacy benefit management platforms.
Expertise
PBM Domain
Claims adjudication, eligibility, formulary, Medicare Part D, network and pricing, accumulators and copays
Test Strategy
Master test plans, regression, integration, performance, UAT, parallel testing, release management
Tools & Platforms
Jira, Postman, SQL, QTP/UFT, HP ALM, TouchStone AI, Python, Pytest, GitHub Actions
Leadership
11-person onshore/offshore team, 20+ engineers mentored, daily stand-ups, stakeholder coordination
Experience
2024 - 2026
QA Lead RxSense
Led 11-person onshore/offshore team, owned end-to-end test strategy for all production releases. Used AI-assisted test generation.
2019 - 2024
QA Engineer RxSense
Joined at inception, built QA workflows from the ground up. SME across 5 squads covering claims, eligibility, network pricing, and clinical authorizations.
2013 - 2014
QA Analyst (Contract) Express Scripts
Tested PBM claims and eligibility on mainframe for 80M+ members during post-Medco merger integration.
2012 - 2013
Sr. QA Engineer (Contract) CDPHP
Built Master Test Plans for PBM implementation with CVS Caremark. Automation with QTP and performance testing with LoadRunner.
2008 - 2009
Sr. QA Engineer / PEGA Tester (Contract) Medco Health Solutions
Tested Medicare Part D workflows in PEGA PRPC with back-end validation in Teradata and DB2.
PBM Claims QA Automation Framework
Applying 6+ years of pharmacy benefit management domain expertise to automated test design. Covers eligibility validation, NCPDP reject code handling, formulary and copay logic, with CI/CD integration via GitHub Actions.
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