The Claims System QA Analyst plays a critical role in ensuring that our claims systems are functioning optimal efficiency and accuracy. This role will be responsible for performing testing of our claims system configuration changes. Additionally, the role will support our technical and software QA teams with the testing of integrations with our claims system. Responsibilities include understanding business requirements, evaluating the configuration changes to support those business requirements, and developing and executing user acceptance tests to validate that the system satisfies the business requirements. The role will also lead regression testing efforts required during system upgrades and any new product launches that may impact existing functionality.

Our team is remote, and we’re dedicated to creating an ambitious and diverse organization to represent and support the patients we serve.

Finally it's important to us that everyone on our team be prepared to work with and supportive of a variety of backgrounds, roles, and needs. Our organization is built on trust and mutual respect, we know that it's only together that we achieve truly great things.

 

Responsibilities

  • Analyze business requirements for configuration changes and develop user acceptance and regression test scripts

  • Execute user acceptance and regression test scripts and document results

  • Create testing inputs in support of test data management, including but not limited to hands-on creation of HIPAA X12 837 transactions for use in testing

  • Document defects identified during testing and lead the triage process to determine the path to resolution

  • Provide subject matter expertise to Curative Tech and Software QA teams with regard to testing of integrations with Curative’s claims system

  • Provide subject matter expertise in support of testing automation objectives

 

Please reach out if this describes your experience

  • 7+ years of working within a healthcare payer environment in Operations or Technology

  • 5+ years of experience working hands-on with HealthRules Payer required

  • 5+ years of experience in software testing and quality assurance

  • Deep knowledge of healthcare claims processing including adjudication, pricing, benefit management, and provider contracting, and pricing methodologies (Medicare Professional, IPPS/OPPS methodologies, etc.)

  • Additional experience working with other claims platforms (QNXT, Facets, etc.) is a plus

  • Hands-on experience in creating and modifying HIPAA EDI transactions (837, 834, 835, etc.) to support testing objectives

  • Demonstrated expertise with common tools such as MS Word, MS Excel

  • Knowledge of Robotic Processing Automation (RPA) tools in a healthcare payer environment is a plus