Job Description Role Purpose The purpose of this role is to design, test and maintain software programs for operating systems or applications which needs to be deployed at a client end and ensure its meet 100% quality assurance parameters Í Role: Business Test Analyst Location: Remote Note: Must Have: Medicare testing experience in 1. EDI Claims processing on FACETS claim platform 2. Providers testing on sCRED and Symplr applications. Nice to Have: Member Enrollment & Collaterals testing experience. JD: Bachelor's degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience 3 years of experience leading with large and complex multi-million-dollar projects. Experience communicating with senior management from multiple divisions. Experience developing and delivering presentations. Problem resolution experience and skills. Knowledge of strategic planning techniques and industry trends Experience interpreting business and financial information Negotiations skills. Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment. Organizational skills. Experience managing multiple complex projects successfully. Detail oriented. PC proficiency to include MS Office products Knowledge and/or experience with: · Medicare Part A/B/D · Provider workflows & Provider application - Symplr · EDI formats - 837 I&P, 276/277, 270/271, 278, 834 · Member Enrollment - Elements application · Member Collaterals · Provider Credentialing - sCRED application · Claims Intake process · Claims Adjudication logic - FACETS application · EOB · Provider Payments - 835 remittance files & EOP · CMS reporting · SalesForce · Evolve/Broker Test case management tools such as Zephyr Agile tool such as Jira/Rally SQL Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge Preferred Required Job Qualifications: Proven strategic thinking and execution Ability to drive decisions, create optionality and determine impacts of options Í 2. Perform coding and ensure optimal software/ module development Determine operational feasibility by evaluating analysis, problem definition, requirements, software development and proposed software Develop and automate processes for software validation by setting up and designing test cases/scenarios/usage cases, and executing these cases Modifying software to fix errors, adapt it to new hardware, improve its performance, or upgrade interfaces. Analyzing information to recommend and plan the installation of new systems or modifications of an existing system Ensuring that code is error free or has no bugs and test failure Preparing reports on programming project specifications, activities and status Ensure all the codes are raised as per the norm defined for project / program / account with clear description and replication patterns Compile timely, comprehensive and accurate documentation and reports as requested Coordinating with the team on daily project status and progress and documenting it Providing feedback on usability and serviceability, trace the result to quality risk and report it to concerned stakeholders Mandatory Skills: Test Automation . Experience: 5-8 Years .
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Job Type
Full-time
Career Level
Mid Level
Industry
Professional, Scientific, and Technical Services
Number of Employees
5,001-10,000 employees