Overview
Skills
Job Details
Responsibilities: -
Good knowledge of Healthcare Payors enterprise IT landscape
Testing experience on Payor s Core Administration Processing Systems e.g. HealthRules, Facets, QNTX etc.
Excellent understanding of payer business functions, data exchanges, and integrations/Interfaces
Strong knowledge on - End to End Claims processing workflows like Member enrolment, EDI processing, Benefit plans, Claims payout/edits
Strong knowledge on - End to End Claims processing workflows like Member enrollment, EDI processing, Benefit plans, Claims payout/edits
Design/Create Test Plans, Test Strategies, Estimations
QA Testing experience with good understanding of the STLC - Create test scenarios/test cases, perform reviews and execute all levels of testing (System, Integration, and Regression)
Excellent written and verbal communication skills, interpersonal skills and team working skills
Strong experience in analysing Requirements
Experience on Traceability of requirements, RCA
Experience of agile/Scaled Agile methodology, processes and tools such as Jira, ALM etc.
Skills: -
Mandatory Technical skills
- Healthcare Payer Domain, HealthRules Payer or Facets, Medicaid/Medicare