Testing and Validation Analyst

MedImpact•San Diego, CA

5d•Hybrid

About The Position

MedImpact Healthcare Systems, Inc. is hiring a Testing and Validation Analyst to test, review, and analyze completed benefit, pharmacy, and/or formulary configurations in a pre-production environment. The role ensures configurations function as intended, meet client business requirements, and are ready for delivery. The analyst works with configuration teams, business partners, internal clients, and external clients to clarify requirements, validate configuration and claims-processing accuracy, identify issues, document findings, and approve changes for production in accordance with quality standards and procedures. This is a full-time, non-exempt position. Typical hours are Monday through Friday, 8:00 a.m. to 5:00 p.m.; overtime may be required, and the employee must be able to work nights, weekends, or holidays as business needs require. The role is based onsite at the San Diego headquarters or another company location, with remote work possible with management approval based on business requirements. Domestic travel of up to 5% is required. The position is not eligible for sponsorship.

Requirements

Bachelor of Science or Bachelor of Arts degree and at least 2 years of experience, or an equivalent combination of education and experience.
Intermediate to advanced knowledge of Microsoft Office, including Word, Excel, PowerPoint, and Outlook.
Intermediate-user experience with multiple business software applications and working knowledge of technical applications such as SQL, Oracle-based platforms, and Golden 32.
Ability to run SQL queries and scripts.
Ability to gather and document business requirements and client specifications.
Ability to develop, execute, and document test plans as part of quality assurance and control processes and procedures.
Ability to interact positively with clients, internal customers, and peers.
Accountability for service commitments and demonstrated ability to achieve results.
Ability to follow directions, work rules, procedures, and corporate policies, goals, and objectives; accept constructive criticism; establish goals; and demonstrate initiative and commitment.
Ability to solve practical problems and interpret written, oral, diagrammatic, or scheduled instructions.
Ability to work with probability, statistical inference, geometry, trigonometry, fractions, percentages, ratios, and proportions.
Ability to read and interpret business and professional publications, technical procedures, and governmental regulations; write reports, business correspondence, and procedure manuals; and present information and respond to questions.
Ability to meet the physical requirements of the role, with reasonable accommodations where applicable.
Availability to work overtime and nights, weekends, or holidays as required by business needs.
Ability to travel domestically up to 5% of the time.
Pass an administered intermediate-level Excel test.
This position is not eligible for sponsorship.

Nice To Haves

Pharmacy Technician License or national certification.

Responsibilities

Review configurations completed by the Configuration Analyst team.
Develop additional test scenarios when needed to improve substandard unit test plans and ensure claims-processing accuracy and adherence to design requirements and best practices.
Collaborate with business partners to validate benefit changes by testing complex benefit designs and reviewing and approving test claims in a pre-production environment.
Work with client team counterparts, internal business partners, and clients to clarify, document, communicate, test, and deliver business requirements for change requests.
Clarify specifications, participate in design reviews, audit existing configurations, develop best-practice coding guidelines, and document review activities, specifications, expected outcomes, testing methods and processes, unit test results, recommendations, version control, and configuration design.
Analyze claims adjudication results to identify discrepancies, inaccuracies, anomalies, and unintended consequences; recommend and develop solutions to improve configuration accuracy.
Confirm configuration accuracy and approve changes from the test environment to production while following unit procedures and quality standards and exercising independent judgment.
Present test-claim results to clients through WebEx demonstrations when necessary.
Document design, configuration, and unit-test-plan accuracy in the Accuracy Scorecard within Salesforce to support performance tracking and identification of training or process-improvement opportunities.
Complete special projects and assignments as assigned.
Assist with pre-assessment and configuration of change requests and answer client research questions when needed.
Provide support to Senior Testing and Validation Analysts and the Lead Testing and Validation Analyst.