Senior Healthcare Claims QA Analyst

East Hartford, CT, US • Posted 1 hour ago • Updated 1 hour ago
Contract W2
12 Months
No Travel Required
On-site
Depends on Experience
Company Branding Image
Fitment

Dice Job Match Score™

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Job Details

Skills

  • EDI
  • Mainframe
  • Healthcare
  • Claims

Summary

 

Job Title: Senior Healthcare Claims QA Analyst / Tester

Location: Hartford, CT preferred; remote is also acceptable.

Job Description

We are seeking an experienced Healthcare Claims QA Analyst/Tester with 7–9 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable working within an Agile delivery environment.

Required Skills

  • 7–9 years of overall Healthcare domain experience
  • Strong Healthcare Claims domain knowledge
  • Strong understanding of claims processing and adjudication
  • Experience with software testing methodologies and QA lifecycle
  • Good understanding of Agile/Scrum ways of working
  • Strong analytical, troubleshooting, and communication skills
  • Ability to work with business and technical teams

Mainframe knowledge/experience is required for this requirement. 

Preferred Skills

  • Exposure to healthcare payer platforms and EDI transactions such as 837/835 is advantageous. Similar internal claims-testing work has involved claims adjudication, 837 Professional/Institutional claims, 835 remittance, and payer platforms. 
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: 91026514
  • Position Id: 9125632
  • Posted 1 hour ago

Company Info

About Career Soft Solutions Inc

Career Soft Solutions is a leading global provider of end-to-end, technology-enabled business solutions, including ERP, SCM, PLM, WMS, CRM, portal, e-commerce, application development, project services, e-learning, training, staffing and global sourcing solutions. Founded in New Jersey, Career Soft Solutions currently serves North America, Asia and wider operations worldwide. Career Soft Solutions enables mid-market enterprises, Fortune 1000 companies to drive business transformation and improve operating performance by adapting and implementing advanced technologies—carried out by proven, cross-industry, multi-platform experts that are dedicated to customer satisfaction. Career Soft Solutions delivers an integrated portfolio of solutions and services reflecting a broad range of technology and business practices.The result is to provide end-to-end comprehensive set of solutions and services that enable clients to focus on driving competitive advantage in their core business.

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