Functional Lead Cincinnati - OH - Ohio

Cincinnati, OH, US • Posted 3 days ago • Updated 3 days ago
Contract Corp To Corp
Contract W2
12 Months
On-site
$45 - $45/hr
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Facets
  • Testing

Summary

Must Have TechnicalFunctional Skills

Strong SME knowledge in Healthcare Claims Processing lifecycle

Expertise in EDI formats 837 (PID), 835, 834

Hands-on experience in Facets (Claims + Enrollment modules)

Proficiency in Azure DevOps (ADO) for QA tracking

Knowledge of HIPAA compliance and payer systems

8+ years of experience in Healthcare QATesting

4+ years of experience as Test Lead in Facets projects

Deep understanding of Claims Adjudication & Payment workflows

Experience in handling claims denials, adjustments, and reprocessing

Strong exposure to EDI claim and remittance transactions

Experience in mocking and validating EDI files (837835834)

Knowledge of ITS claims processing (SF, DF, RF)

Experience in Member Enrollment workflows (Medicaid, Medicare, ACA)

Understanding of Billing lifecycle for member enrollment

Hands-on experience with ADO Test Plans, Test Suites, and Defect tracking

Ability to perform data validation and reconciliation activities

Strong experience in functional and end-to-end testing

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 90911958
  • Position Id: 9045011
  • Posted 3 days ago
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