QA Analyst with Facets Claims experience
About The Role
As a QA Analyst with Facets Claims experience, you will make an impact by ensuring the quality, accuracy, and performance of healthcare payer claims processing applications. You will be a valued member of the Quality Engineering team and work collaboratively with business stakeholders, Facets configuration teams, developers, and sing teams to support large-scale healthcare transformation and Facets migration initiatives.
Responsibilities
- Perform end-to-end sing of Facets Claims processing applications to ensure business and system requirements are met.
- Execute large-scale parallel sing activities, validating claim adjudication results between legacy platforms and Facets.
- Validate Medicare claims processing workflows, configurations, and business rules within the Facets platform.
- Conduct backend sing and data validation using SQL, claims data analysis, and database queries.
- Design, develop, and execute functional, integration, regression, and system s cases and s scenarios.
- Analyze high-volume claims processing results and identify defects, inconsistencies, and data issues.
- Support defect triage, root cause analysis, resing, and validation of production-ready solutions.
- Collaborate closely with business users, Facets configuration teams, and development teams to ensure successful delivery of sing objectives.
Requirements
- Strong hands-on experience in Facets Claims sing.
- Deep understanding of healthcare payer claims adjudication processes and claims lifecycle management.
- Experience performing both front-end and backend validation within Facets Claims applications.
- Strong SQL skills with proven experience performing database and data validation sing.
- Experience sing Medicare Claims processing workflows and business rules.
- Able to work independently in a hands-on sing environment with minimal supervision.
- Experience supporting large-scale Facets migration or healthcare transformation programs.
- Strong analytical, troubleshooting, and defect management skills.
Qualifications
- Knowledge of 837 and 835 EDI transactions.
- Experience supporting Federal healthcare programs, including CMS and Medicare initiatives.
- Exposure to s automation frameworks and methodologies.
- Experience with healthcare data migration sing and data reconciliation activities.
- Familiarity with Agile delivery methodologies and healthcare regulatory requirements.
Skills
These will help you stand out:
- Knowledge of 837 and 835 EDI transactions.
- Experience supporting Federal healthcare programs, including CMS and Medicare initiatives.
- Exposure to s automation frameworks and methodologies.
- Experience with healthcare data migration sing and data reconciliation activities.
- Familiarity with Agile delivery methodologies and healthcare regulatory requirements.
Pay
The annual salary for this position is between $53,477 to 92,500 depending on experience and other qualifications of the successful candidate.
Schedule
This is a remote position open to qualified applicants in the United States.
Benefits
- Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance
- Paid holidays plus Paid Time Off
- 401(k) plan and contributions
- Long-term/Short-term Disability
- Paid Parental Leave
- Employee Stock Purchase Plan
Disclaimer
The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship. *Please note, this role is not able to offer visa transfer or sponsorship now or in the future*