| QA Lead (USC and GC Required)-Remote at Remote, Remote, USA |
| Email: [email protected] |
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https://shorturl.at/zCvmO https://jobs.nvoids.com/job_details.jsp?id=1956770&uid= From: supriya, Nitya Software Solutions [email protected] Reply to: [email protected] Location: Remote Job Description: We are looking for Manual Claims Test Manager, preferably with MMIS (Medicaid Management Information System) experience. If MMIS expertise is not available, candidates with payer experience in claims are also suitable, particularly those with skills in EDI (Electronic Data Interchange), accumulators management, and claim financials. Responsibilities: Design, develop and implement test plans, test cases and test strategies tailored to claims processing systems (including Medicaid claims) Prepare and maintain clear, detailed test documentation, including test plans, test cases and results Design and Develop Test Automation framework Collaborate with business analysts, developers and stakeholders to understand requirements and translate them unto comprehensive testing scenarios Participate in all Agile ceremonies and represent the QA testing team Perform functional, regression, integration and end to end testing of claims processing systems (including Medicaid claims) Validate claims adjudication logic, compliance with Medicaid policies and processing workflows Conduct data validation and verify accurate data transformation across system components Ensure test aligns with regulatory requirements, including HIPPA and Medicaid guidelines Verify compliance with industry standards for claims data processing and security Provide periodic reports on testing progress, coverage, and quality metrics to project stakeholders Participate in peer reviews to test cases and scripts Monitor and Mentor junior & Sr. QA testers Requirements: Proven experience in managing a testing team of 5-7 testers (both junior and senior) Proven experience in claims processing, with a strong preference for MMIS experience. Alternatively, significant payer experience in claims, particularly with EDI, accumulators, and claim financials. Technical proficiency in claims processing systems and related software. Strong analytical skills and attention to detail. Effective problem-solving abilities. Excellent verbal and written communication skills. Strong SQL skills Good Excel skills Keywords: quality analyst QA Lead (USC and GC Required)-Remote [email protected] https://shorturl.at/zCvmO https://jobs.nvoids.com/job_details.jsp?id=1956770&uid= |
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| 03:01 AM 22-Nov-24 |