Senior Medicaid Facets QA Engineer (Remote, FT)

SoftPathTechnologies; United States; À distance; USD 90 000 - 150 000; Plein temps

Résumé du poste

SoftPathTechnologies is seeking a Senior QA Analyst with strong Medicaid payer and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend/TalendWorks and related applications.

This remote, full-time role requires experience across healthcare payer QA, TriZetto Facets, and ETL/SQL validation to ensure accurate enrollment, eligibility, benefits, claims adjudication, pricing and payments processing for multiple states.

Qualifications

• Strong healthcare payer QA/testing experience.
• Strong testing knowledge of TriZetto Facets.
• Testing experience across Mainframe and Java-based applications.
• Experience validating DataStage and Talend/TalendWorks processes.
• SQL and database testing skills.
• Strong Medicaid managed-care knowledge.
• Experience with state-specific Medicaid requirements.
• Good Medicare and Medicaid health-plan knowledge.
• Strong understanding of member enrollment, eligibility, benefits, claims, claims adjudication, pricing, payment.
• Experience performing quality assessments for complex regulatory implementations.

Responsabilités

• Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states.
• Validate end-to-end changes across Facets, Mainframe, Java applications, DataStage, Talend/TalendWorks, APIs/interfaces, batch systems and downstream apps.
• Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments.
• Validate Mainframe and Java batch/interface processing.
• Perform ETL and source-to-target data validation.
• Conduct functional, integration, end-to-end, regression, negative, and boundary testing.
• Perform independent quality assessments of regulatory solutions.
• Identify gaps between regulatory requirements, requirements documentation, technical implementation, and actual system behavior.
• Perform SQL-based data validation and reconciliation.
• Conduct defect analysis and support root-cause investigation.
• Ensure traceability across Regulation Business Requirement System Change Test Scenario Test Result.

Connaissances

Healthcare QA/testing

Regulatory testing

Test planning

Regression testing

SQL testing

Outils

TriZetto Facets

Mainframe

Java

DataStage

Talend/TalendWorks

APIs/Interfaces

SQL databases

Description du poste

SoftPathTechnologies is seeking a Senior QA Analyst with strong Medicaid payer and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend/TalendWorks and related applications.

This remote, full-time role requires experience across healthcare payer QA, TriZetto Facets, and ETL/SQL validation to ensure accurate enrollment, eligibility, benefits, claims adjudication, pricing and payments processing for multiple states.