Quality Configuration Assurance Analyst II

L.A. Care Health Plan; Los Angeles (CA); On-site; USD 77,000 - 124,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Job summary

L.A. Care Health Plan in Los Angeles, CA seeks a Quality Configuration Assurance Analyst II to support integration and business processes through testing, validation, and quality assurance of requirements across core systems such as CCA, PCT, and Claims Test Pro.

The role emphasizes identifying end-to-end configuration opportunities, managing testing artifacts, and collaborating with teams to uphold QA best practices and successful configuration changes within our healthcare network.

Qualifications

• At least 5 years of experience in a Systems Configuration, Claims or other Operations department.
• Experience analyzing the impact of configuration on business processes, other systems, and applications.
• Advanced claims experience with QNXT or equivalent.
• Experience with Health Services/population health systems.
• Quality Assurance experience in the health care industry.
• Preferred: 5+ years with a California Medi-Cal managed care plan or commercial health plan, medical group, or MSSO.

Responsibilities

• Identify, analyze, and validate recommendations for end-to-end configuration improvements.
• Manage and maintain testing and QA-related documentation.
• Interface and collaborate with peers to support QA best practices and system configuration improvements.
• Facilitate user acceptance test planning, test case specifications, test execution, defect management, and test status reporting.

Skills

Medicare rules

Medicaid rules

Communication skills

Analytical thinking

Time management

Prioritization

Education

Bachelor's in business administration

Master's in business administration

Tools

QNXT

Job description

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Quality Configuration Assurance Analyst II

Job Category: Information Technology

Department: Core Admin Ops - Configuration

Location:

Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 13305

Salary Range:$77,265.00(Min.) -$100,445.00(Mid.) -$123,625.00(Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Quality Configuration Assurance Analyst II supports integration and business process activities that utilize configuration by performing more complex technical and analytical work related to the testing, validation, and quality assurance of business requirements, including, but not limited to, managing and maintaining testing and quality assurance-related documentation and applying related industry best practices. This position is responsible for providing well thought-out recommendations for end-to-end business process and/or configuration improvements (as applicable, based on timely identification, analysis, and validation of opportunities for improvement) for the L.A. Care Health Plan core system and the related surround systems, applications, and databases (e.g., Clinical CareAdvance (CCA), Process Communication Tracking (PCT), Claims Test Pro, etc.).

Duties

Identify, analyze, and validate well thought-out recommendations for end-to-end business process and/or configuration improvements.

Manage and maintain testing and quality assurance-related documentation.

Interface and collaborate with peers within and outside the department and the organization to support configuration quality assurance best practices as well as business process and systems configuration improvements

Facilitate user acceptance test planning, test case specifications, test execution, peer reviews defect management, and test status reporting.

Perform other duties as assigned.

Education Required

Bachelor's Degree in Business Administration or Related Field

In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Master's Degree in Business Administration or Related Field

Experience

Required: At least 5 years of experience in a Systems Configuration, Claims or other Operations department.

Experience with identifying and analyzing the impact of systems configuration on business processes, other systems, and applications.

Advanced claims experience with QNXT or equivalent claims processing system.

Experience with Health Services/population health systems.

Quality Assurance experience in the health care industry.

Preferred: At least 5 years experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.

Skills

Required: Advanced knowledge of and experience with Medicare and Medicaid rules and regulations and related core and surround systems code and data sets, etc.

Strong communication, analytical, organizational, and time-management skills.

Ability to meet strict, tight deadlines with a high level of accuracy.

Ability to prioritize multiple tasks.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Light

Additional Information

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offersa wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program

Nearest Major Market: Los Angeles
Job Segment: Claims, Medicaid, Medicare, Insurance, Healthcare