Senior QA - Facets & Medicaid Regulatory Solutions

AppLab Systems, Inc; United States; Remote; USD 110,000 - 160,000; Full time

Job summary

AppLab Systems, Inc. is seeking a Senior QA Engineer with deep Medicaid payer knowledge and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend, and related applications.

You will design test scenarios, execute end-to-end testing, perform data validation, and collaborate with cross-functional teams to ensure accuracy of enrollment, eligibility, benefits, claims, and payments.

Qualifications

• Required strong testing knowledge of TriZetto Facets.
• 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.
• Medicare and Medicaid health-plan knowledge.

Responsibilities

• Analyze Medicaid regulatory requirements and develop test scenarios for each state.
• Validate end-to-end changes across Mainframe, Java applications, ETL tools, and APIs.
• Perform SQL-based data validation and reconciliation.
• Conduct functional, integration, end-to-end, regression, negative, and boundary testing.
• Identify gaps between requirements, implementation, and system behavior.
• Conduct defect analysis and support root-cause investigation.
• Provide independent quality assessments of regulatory solutions.

Skills

Facets testing

Mainframe testing

Java testing

DataStage testing

Talend testing

SQL testing

Medicaid knowledge

State Medicaid rules

End-to-end testing

Tools

Mainframe

Java

DataStage

Talend/TalendWorks

SQL

Job description

Role: Senior QA Engineer – Facets & Medicaid Regulatory Solutions

Location: Remote

Type: Contract/FTE

Role Summary:

Seeking a Senior QA Engineer with strong Medicaid payer and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend/TalendWorks, and associated applications.

Key Responsibilities:

• Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states.
• Validate end-to-end changes across:
• Mainframe
• Java applications
• DataStage
• Talend/TalendWorks
• APIs/interfaces
• Upstream/downstream applications
• 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.

Required 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:

• Claims
• Claims adjudication
• Payment
• Experience performing quality assessments for complex regulatory implementations.

Mandatory: Strong Facets + Medicaid + end-to-end cross-platform testing, with ability to validate Mainframe/Java/ETL processing.