Testing & Validation Analyst I

MedImpact Healthcare Systems, Inc.San Diego, CA
4d$25 - $41

About The Position

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution! Job Description Summary Tests, reviews and performs an in-depth analysis of completed benefit, pharmacy and/or formulary configurations, in a pre-production environment, to ensure that the configuration functions as intended, meet the client’s business requirements and is ready for delivery to the client.

Requirements

  • BS/BA and 2+ years’ experience or equivalent combination of education and experience
  • Intermediate to advanced knowledge of MS Office / Word, Excel PowerPoint, and Outlook.
  • Experience as an intermediate user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32.
  • The ability to run SQL queries and scripts required.
  • Ability to gather and document business requirements and client specifications.
  • Ability to develop, execute and document test plans as part of quality assurance/control processes and procedures.
  • Demonstrated ability to positively interact with clients, internal customers and peers.
  • Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results.
  • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with coworkers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment.
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry.
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to write reports, business correspondence, and procedure manuals.

Nice To Haves

  • Pharmacy Technician License or National Certification helpful.
  • Passing score of the intermediate level Excel based administered test.

Responsibilities

  • Reviews configuration completed by the Configuration Analyst team.
  • Requires additional test scenarios to augment sub-standard test plans produced during unit testing, ensuring system claims processing accuracy and adherence with design requirements and best practices.
  • Works with business partners to validate the accuracy of benefit changes by performing non-standard testing of complex benefit designs and reviewing and approving test claims produced by the Configuration Analyst during unit testing in a pre-production environment
  • Ensures consistent customer satisfaction by collaborating with client team counterparts, internal business partners and clients to ensure that business requirements for change requests are clearly understood, documented, communicated, tested, and delivered flawlessly. This is achieved through up-front clarification of specifications, design reviews, validation audits of existing configurations, development of best practice coding guidelines, appropriate documentation of review activities including client specifications, expected outcomes, testing methodology & processes, unit level test results, recommendations, version control, and configuration design.
  • Analyzes claims adjudication results and identifies discrepancies, inaccuracies, anomalies, and unintended consequences. Makes recommendations and develops solutions to enhance the accuracy of configuration designs
  • Confirms accuracy of adjudication configurations and approves changes from the test environment to the production environment, adhering to unit procedural and quality standards and independent judgment.
  • Presents test claim results to clients through WebEx demonstrations, when necessary
  • Documents the accuracy of design, configuration, and unit test plans through the Accuracy Scorecard within Salesforce, enabling the tracking of department and individual performance to identify training opportunities or process improvement measures.
  • Completes special projects and assignments as assigned.
  • Assists with pre-Assessment and configuration of change requests and answering client research questions when needed.
  • Provides support to Sr. Testing and Validation Analysts as well as Lead Testing and Validation Analyst.
  • Other duties as assigned.

Benefits

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus
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