Senior Healthcare Claims QA Analyst


Career Soft Solutions Inc
Dice Job Match Score™
🔢 Crunching numbers...
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.
- Dice Id: 91026514
- Position Id: 9125632
- Posted 1 hour ago
Company Info
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.


