Healthcare Product QA Analyst - Hybrid, Data-Driven Impact

Abarca Health LLC.; Puerto Rico; Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Hybrid work model (Puerto Rico on-site

On-site days in Puerto Rico

Job summary

Abarca Health LLC is seeking a Product Quality Analyst to partner with the Product Team, ensuring business requirements are accurately translated into our claims adjudication platform. You will guide QA activities, collaborate with testers, and ensure high quality client pharmacy benefit designs.

The role requires a strong QA mindset, data-driven analysis, and the ability to work in a flexible hybrid model with on-site days in Puerto Rico.

Qualifications

• Bachelor’s or Master’s degree in business, engineering, healthcare, or related field (or equivalent work experience).
• 3+ years experience in a health plan or pharmacy benefit management setting, claims processing testing and/or QA.
• Experience with testing methodologies, project management, troubleshooting, root-cause analysis, quality assurance practices and tools.
• Experience analyzing large data sets with dashboards (SQL, Tableau, QVW and Excel).

Responsibilities

• Lead development of test plans and cases from business requirements.
• Document, track, and report issues to ensure timely resolution.
• Ensure test coverage for adjudication changes and integrated components (e.g., member portal, platform visualization).
• Review results with Scrum team and stakeholders for acceptance.
• Collaborate with Software Test Engineering to improve testing strategies and tools.
• Mentor team members and participate in grooming sessions for new functionality.

Skills

SME on adjudication logic

Test planning & test cases

Documentation & reporting

Defect tracking & remediation

Test coverage & risk assessment

Stakeholder communication

Requirements gathering

Mentoring & leadership

Cross-functional collaboration

On-call coordination

Education

Bachelor’s or Master’s degree in business/engineering/healthcare

Tools

SQL Server Management Studio

Tableau

QlikView / QVW

Excel

Job description

Abarca Health LLC is seeking a Product Quality Analyst to partner with the Product Team, ensuring business requirements are accurately translated into our claims adjudication platform. You will guide QA activities, collaborate with testers, and ensure high quality client pharmacy benefit designs.

The role requires a strong QA mindset, data-driven analysis, and the ability to work in a flexible hybrid model with on-site days in Puerto Rico.