QA Test Engineer

Expion Health is building the future of pharmacy economics. As architects of prescription economics, we design how pharmacy value is created, aligning cost, clinical decisions, and performance into one accountable system that moves beyond rebates. We help organizations stay ahead of pharmacy market change with clear insight, bold thinking, and strategies built for what's next, leading the next era of prescription economics.

The Role

As a QA Test Engineer at Expion, you will be the person who makes sure what we ship actually works. You will sit inside an agile delivery team and own the testing that stands between a good idea and a client relying on it every day.

This is hands-on work. You will execute functional, regression, integration, and data validation testing across our pharmacy platform, dig into healthcare payor data to prove it is right, and catch the defects before anyone else does. You will not sit on the sidelines writing plans no one reads. You will be in the product, testing it, pushing on it, and helping the team make it better.

You will work shoulder to shoulder with developers, product managers, and analysts, and report to our Quality & Release Manager. If you take pride in quality, know your way around SQL and payor data, and want your work to matter, this role was built for you.

What You'll Own

Test Execution & Quality

• Execute functional, regression, integration, and user acceptance testing with accuracy and consistency across every sprint.


• Translate user stories and acceptance criteria into clear, testable scenarios, and validate functionality against what was actually asked for.


• Develop and maintain test cases, test scripts, and test data that the whole team can rely on.

Data Validation

• Perform data testing across healthcare payor data, including claims, eligibility, provider, and benefits.


• Run SQL-based validation and source-to-target comparisons to prove large datasets are correct, not just present.


• Use test management tools to track execution and keep full traceability from requirement to result.

Collaboration & Continuous Improvement

• Log defects with clear, actionable documentation and partner with developers to drive them to resolution.


• Participate fully in agile ceremonies, from standups to sprint reviews to retrospectives.


• Bring feedback that makes QA processes and team workflows better, and support quality metrics and reporting as the team needs it.

Take on other work as needed to support the broader goals of the team and the company.

What We're Looking For

• An Associate's degree with 3 or more years of software testing experience, or a Bachelor's degree with 1 to 2 years.


• Hands-on testing experience in healthcare payor environments, including claims, eligibility, provider data, and adjudication.


• Strong data testing skills, with real command of SQL and the validation of large datasets.


• Familiarity with agile delivery frameworks and a solid understanding of QA methodologies, tools, and best practices.


• Experience with test management tools such as Azure DevOps, Jira, or similar.


• Strong communication and collaboration skills, and the discipline to keep quality front and center under shifting priorities.

Bonus points for:

• Exposure to test automation tools like Selenium or Playwright.


• Familiarity with DevOps practices and CI/CD pipelines.


• A track record supporting QA activities in fast-moving agile delivery environments.


• Curiosity that keeps you learning new tools and staying current with where QA is heading.

Why Expion, Why Now

Expion Health is not asking whether pharmacy economics needs to change. We have decided, and we are building. Quality is not an afterthought here. It is how we earn the trust of the health plans, employers, and PBMs who rely on us with their pharmacy performance. You will join a team that takes testing seriously and gives your work real weight in what ships.

Own the outcome and build boldly, improve relentlessly are not slogans here. They are how we expect this role to operate. If you are ready to bring real rigor and real curiosity to a growing product organization, we want to talk.

Benefits & Perks

• 100% remote – work anywhere in the US


• Medical, dental & vision insurance


• HSA & FSA options


• Access to GLP-1 weight loss program


• Short & long-term disability


• Life Insurance and AD&D


• 401(k) with company match


• Paid Time Off


• Phone & internet allowance


• Town halls & direct access to executive leadership


• A company that is genuinely investing in AI – and in you!

Expion Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.