Manager, Systems Quality Assurance

Navitus Health Solutions, LLC

1d•Remote

About The Position

The Manager, Systems Quality Assurance will provide support for the development, implementation, and maintenance of our FFS Medicaid products. The FFS implementations require full compliance to NCPDP standards, CMS and State regulations and with defined business rules and policies. The Manager will be responsible for managing the testing activities during the DDI and the life of the contract to ensure the system meets all requirements set forth. Is this you? Find out more below!

Requirements

Bachelor’s degree, preferably in Information System Engineering, Computer Science, or a related field, with at least three courses in Statistics and or Quality Assurance, or equivalent work experience, required.
4 years of experience managing a QA team testing Claims, reporting, Data files, API and other systems required.
3 years progressive testing experience in the quality assurance function of a large-scale claims processing organization required.
Experience in roles like a Business Analyst, Business Systems Analyst, or Product Manager required.
Elicitation and documentation of Medicaid Business requirements required.
Implementation of government regulations into software development activities required.
Participation in an agile development project team required.
Experience with core software applications, including Microsoft Word and Excel, required.
Knowledge of Software Development Lifecycle (SDLC) methodologies required.
Experience with manual and automated testing methodologies and tools required.
Strong knowledge of functional product testing required.
Participate in, adhere to, and support compliance program objectives
The ability to consistently interact cooperatively and respectfully with other employees

Nice To Haves

Relevant certifications from recognized industry organizations preferred.
Business Analysis Certification (PMI, IIBA) or College level program preferred.
Experience with Microsoft Visio, PowerPoint, Project and Team Foundation Server (TFS) preferred.
Healthcare industry business practices and HIPAA knowledge preferred.
Working experience with pharmacy benefits and claims processing preferred.
Experience in mockups, wireframing and prototyping UI with UX principles preferred.
Experience with multiple testing methodologies preferred.

Responsibilities

Develop and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements.
Develop an understanding of unique attributes within a claim transaction where contracted State governments apply specific regulatory requirements to support their programs.
Understand the competitive landscape, regulatory lifecycle and related government processes surrounding FFS.
Facilitate productive discussions to identify, confirm and resolve any identified defect or testing issues and stay engaged through complete resolution.
Perform testing design, test case creation, documenting outcomes and automated testing processes.
Work with the team to identify, analyze, quantify, and mitigate risks.
Work with the project management office to utilize and enhance tools that support the requirements, development, and testing processes.
Collaborate with the training/development staff to deliver and update training documentation.
Create and update status reports upon request that communicate the health of the products.
Perform system and requirements testing on all aspects of claims, rebates, portal etc. and document findings and work with IT to remediate any issues.
Develop an suite of test cases to use with automation tools to increase testing efficiencies.
Other duties as assigned