Associate III - BPM Product Configuration QA Analyst

UST; Chennai District; Presencial; INR 700 000 - 1 000 000; Tempo integral

Resumo da oferta

UST is seeking a BPM Product Configuration QA Analyst to independently validate TriZetto Facets configurations against business requirements. The role conducts quality audits, defect analysis, and root cause investigations while supporting defect prevention and continuous quality improvement.

Responsibilities include validating benefit and group configurations, participating in calibration sessions, and ensuring compliance with regulatory obligations.

Qualificações

• 5+ years of healthcare payer configuration experience.
• Minimum 2+ years performing configuration QA or audit functions.
• Experience validating benefit and group configurations.
• Strong documentation and reporting capabilities.

Responsabilidades

• Quality Validation: Review configurations against source docs and contract requirements; validate accuracy across benefit structures and plan attributes.
• Testing Activities: Execute configuration validation testing; perform end-to-end testing of configurations; assess downstream impacts on enrollment and claims.
• Defect Analysis: Identify defects; classify errors; conduct RCA across people, process, and system; propose corrective actions.
• Calibration Reporting: Maintain audit scorecards and quality metrics; analyze defect trends; provide recommendations to leadership.
• Compliance Governance: Ensure adherence to standards; support audit readiness and regulatory/ contractual obligations.

Conhecimentos

Analytical thinking

Testing expertise

Auditing skills

Documentation

Root cause analysis

Formação académica

Bachelor's degree

Ferramentas

TriZetto Facets

Descrição da oferta de emprego

BPM Product Configuration QA Analyst

Role Summary

The Product Configuration QA Analyst is responsible for independently validating product and group configurations in TriZetto Facets to ensure accuracy, completeness, and compliance with approved business requirements. The role performs quality audits, configuration testing, defect analysis, and root cause investigations while supporting defect prevention and continuous quality improvement.

Key Responsibilities

Quality Validation

• Review configured products, groups, accounts, and benefit plans against source documentation.
• Validate configuration accuracy across benefit structures, eligibility rules, accumulators, provider networks, and plan attributes.
• Ensure TriZetto Facets configurations align with contract requirements and approved business rules.
• Conduct comprehensive quality reviews before production deployment. Testing Activities

Testing Activities

• Execute configuration validation testing in TriZetto Facets.
• Perform end-to-end testing of benefit and group configurations.
• Validate downstream impacts on enrollment, claims, and member servicing processes.
• Support User Acceptance Testing (UAT) and production verification activities.

Defect Analysis Root Cause Analysis

• Identify configuration defects and quality gaps.
• Classify and trend configuration errors.
• Conduct root cause analysis across people, process, and system dimensions.
• Recommend corrective and preventive actions.

Calibration Reporting

• Participate in quality calibration sessions.
• Maintain audit scorecards and quality reporting metrics.
• Analyze defect trends and quality performance indicators.
• Provide actionable recommendations to configuration leadership.

Compliance Governance

• Ensure adherence to configuration standards and procedures.
• Support audit readiness and documentation requirements.
• Validate compliance with regulatory and contractual obligations.

Mandatory Skills Competencies

• Strong knowledge of healthcare payer product and group configuration in TriZetto Facets.
• Experience reviewing benefit plans and group setup documents.
• Strong analytical, testing, and auditing skills.
• Ability to identify defects and perform root cause analysis.
• Excellent documentation and reporting capabilities.

Qualifications Education

• Bachelors degree or equivalent relevant experience.

Experience

• 5+ years of healthcare payer configuration experience.
• Minimum 2+ years performing configuration QA or audit functions.
• Experience validating benefit and group configurations.

Required Platform

• Hands-on experience testing and validating product, benefit, and group configuration in TriZetto Facets.

Key Performance Indicators (KPIs)

• Audit accuracy rate
• Defect identification rate
• Defect leakage rate
• First-pass quality
• Audit completion turnaround time
• Calibration consistency score
• RCA completion effectiveness