Imran Waheed
A decade of ensuring software quality across America's largest pharmacy benefit management platforms.
Expertise
PBM Domain
Claims adjudication, eligibility, Medicare Part D, network and pricing, accumulators and copays, clinical authorizations
Test Strategy
Master test plans, regression, integration, performance, UAT, parallel testing, release management
Tools & Platforms
Jira, Postman, SQL, Python, Pytest, Playwright, Selenium, GitHub Actions (CI/CD), Claude Code, TouchStone AI, QTP/UFT, HP ALM
Automation & AI
Playwright (Python and TypeScript), Selenium, Playwright codegen, Claude Code, GitHub Actions (CI/CD), Pytest
Experience
2024 - 2026
Senior QA Engineer RxSense
Designed and executed end-to-end test coverage for all production releases on a cloud-based PBM platform. Implemented and maintained NCPDP D.0 transactions and configured claims switch/adjudication for dual-standard (D.0/F6) processing. Began moving manual regression into automation with Playwright, Claude Code, and GitHub Actions.
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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