Quality Assurance Analyst

Scope Of Role & Responsibilities

• Create Test Scenarios and Test Cases based on requirements
• QA Benefit and Provider Contract Configuration changes in claim systems to meet requirements and business needs
• Create UB04 and CMS 1500 test claims aligning to requirements
• Meet with business areas to gather business rules and requirements
• Meet with Core configuration team to resolve defects
• Create and maintain documents related to QA
• Analyze QA processes and recommend improvements
• Perform QA Automation processes
• Perform other QA tasks as needed

  Required Education, Training & Professional Experience

  • A Baccalaureate Degree from an accredited college or university; and
  • Three (3) years of progressive, responsible experience in QA involving test scenario and test case creation;
  • Working knowledge of claims both UB04 and CMS1500;
  • Working knowledge and expertise in IT applications and systems analysis methodology;
  • Working knowledge of Managed Health Care MIS Systems;
  • Working knowledge of QA automation tools;
  • or
  • A satisfactory equivalent combination of training, education, and experience

  Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Excellent verbal and written communication skills.
  • Excellent analytical ability.
  • Excellent interpersonal, customer service and time management skills.