Sr QA Analyst, Claims

HealthFirstRemote - NC, NC
$148,990 - $165,000Hybrid

About The Position

The Sr QA Analyst Claims assists the QA team in ensuring overall quality assurance and is responsible for driving in-sprint automation with Java and Selenium. This role is responsible for the bottom-line ownership for ensuring testing of all assigned initiatives are completed on time with quality outcomes. The QA Lead supports and works with peers on integration and downstream testing to ensure no defects impact production processes. The Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation, and enterprise test strategy definition, embodying Healthfirst’s Culture Drivers by promoting and reinforcing behavior consistent with Healthfirst culture. The role ensures all strategic and operational projects meet the highest quality by following industry-recognized QA methodologies and best practices.

Requirements

  • Bachelor's degree in Computer Science, Computer Information Systems, Business Administration or related field and 7 years of experience in the job offered or in a quality assurance analyst occupation.
  • 6 years of experience performing in-sprint and regression test automation.
  • 5 years of experience performing test data automation with other health plans.
  • 6 years of experience in claims end-to-end lifecycle from a QA standpoint across claims pre-processing, adjudication and post-adjudication.
  • 6 years of experience with Talend, Selenium, Jenkins, CT enablement.
  • 5 years experience in claims system for claims process testing.
  • 6 years of experience in Agile methodologies.
  • 6 years of experience in structured testing methodology.
  • 6 year of experience with Scorecards, Dashboards, Statement of Work (SOWs), SLAs Operational Level Agreements (OLAs) and Performance management metrics.
  • Professional, Academy for Health Care Management (PAHM) Certification.

Responsibilities

  • Owns the overall roadmap of automation solutions in collaboration with the development and QA team.
  • Develops reusable automation components for Pega-based and other applications.
  • Mentors automation engineers in the team to optimize automation outcomes.
  • Develops utilities to enable test data automation.
  • Performs feasibility analysis and identifies potential test automation opportunities.
  • Builds the testing process and policies along with defining technical solutions and tools to support the testing framework.
  • Emphasizes cross-functional team collaboration, analytical prioritization, and internal testing audits to ensure product quality.
  • Ensures automation for in-sprint and regression tests in the claims program.
  • Optimizes testing techniques to ensure the highest levels of quality standards are adhered to as per agreed-upon Service Level Agreements (SLA's).
  • Reviews functional specifications and assists in evaluating test automation approaches.
  • Generates quality metrics in partnership with Release Management to provide accurate information on team performance.
  • Additional duties as assigned or necessary.

Benefits

  • medical
  • dental
  • vision coverage
  • incentive and recognition programs
  • life insurance
  • 401k contributions
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