Sai Niketh

Associate QA Engineer

PharmaForce Infosoft Private Limited

Sep 2025 - Jun 2026

Achieved 99% business rule coverage on pharmacy claims processing, as measured by 250+ functional, regression, integration, and end-to-end test cases executed, by designing a comprehensive test plan aligned to SDLC phases and Agile sprint cadence. Ensured correct claims processing for members with multiple insurance coverages, as measured by zero COB-related defects escaping to production across sprint cycles, by testing Coordination of Benefits (COB) functionality against business rules. Maintained patient safety compliance on 40+ Drug Utilization Review (DUR) rules, as measured by full coverage of interaction checks, dosage limits, duplicate therapy, and refill restrictions, by designing and executing functional test cases and logging severity-tagged defects. Confirmed accurate billing across 5,000+ compound prescriptions, as measured by validated ingredient data, pricing calculations, and NDC mappings, by creating test case designs and executing functional and regression tests for Compound Drug functionality. Achieved 99.9% data accuracy between application and database, as measured by SQL query validation against Azure Cosmos DB, by conducting systematic database checks and documenting discrepancies in defect logs. Delivered on-time test execution and defect resolution, as measured by a 95% defect resolution rate across four release cycles, by leading daily collaboration with a 5-member development team through Agile/Scrum ceremonies and communicating risk assessments to stakeholders. Validated member eligibility, discount calculations, and pricing logic, as measured by accurate claim processing for prescriptions purchased outside insurance benefits, by testing Cash Card functionality end-to-end. Achieved a 99% pass rate on critical UI paths, as measured by four release cycles of functional, smoke, and regression testing, by leading end-to-end UI testing of the PBM web application from front end through database. Verified API-level data integrity for claims and DUR workflows, as measured by request/response validation across test scenarios, by executing REST API tests using Postman.