Testing & Validation Analyst I

medimpact; San Diego (CA); On-site; USD 53,000 - 86,000; Full time

Job summary

MedImpact Healthcare Systems, Inc. is seeking an analyst to test and review benefit, pharmacy, and formulary configurations in a pre-production environment, ensuring the setup meets client requirements and is ready for delivery.

The role emphasizes collaboration with client teams and internal partners to validate configurations and guarantee accurate testing results. Responsibilities include expanding test scenarios, validating changes, and documenting processes.

Qualifications

• BS/BA and 2+ years' experience or equivalent combination of education and experience.
• Intermediate computer skills (as per job listing).

Responsibilities

• Reviews configuration completed by the Configuration Analyst team.
• Requires additional test scenarios to augment sub-standard test plans produced during unit testing.
• Validates the accuracy of benefit changes by performing non-standard testing of complex benefit designs.
• Ensures business requirements for change requests are clearly understood, documented, tested, and delivered.
• Analyzes claims adjudication results and identifies discrepancies, inaccuracies, and anomalies.
• Presents test claim results to clients via WebEx when necessary.
• Documents the accuracy of design, configuration, and unit test plans in Salesforce Accuracy Scorecard.

Education

BS/BA and 2+ years' experience or equivalent combination of education and experience

Job description

Exemption Status:

United States of America (Non-Exempt)

$25.33 - $33.25 - $41.16

"Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate."

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact?

Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary

Tests, reviews and performs an in-depth analysis of completed benefit, pharmacy and/or formulary configurations, in a pre-production environment, to ensure that the configuration functions as intended, meet the client's business requirements and is ready for delivery to the client.

Essential Duties and Responsibilities

• Reviews configuration completed by the Configuration Analyst team.
• Requires additional test scenarios to augment sub-standard test plans produced during unit testing, ensuring system claims processing accuracy and adherence with design requirements and best practices.
• Works with business partners to validate the accuracy of benefit changes by performing non-standard testing of complex benefit designs and reviewing and approving test claims produced by the Configuration Analyst during unit testing in a pre-production environment.
• Ensures consistent customer satisfaction by collaborating with client team counterparts, internal business partners and clients to ensure that business requirements for change requests are clearly understood, documented, communicated, tested, and delivered flawlessly. This is achieved through up-front clarification of specifications, design reviews, validation audits of existing configurations, development of best practice coding guidelines, appropriate documentation of review activities including client specifications, expected outcomes, testing methodology & processes, unit level test results, recommendations, version control, and configuration design.
• Analyzes claims adjudication results and identifies discrepancies, inaccuracies, anomalies, and unintended consequences. Makes recommendations and develops solutions to enhance the accuracy of configuration designs.
• Confirms accuracy of adjudication configurations and approves changes from the test environment to the production environment, adhering to unit procedural and quality standards and independent judgment.
• Present test claim results to clients through WebEx demonstrations, when necessary.
• Documents the accuracy of design, configuration, and unit test plans through the Accuracy Scorecard within Salesforce, enabling the tracking of department and individual performance to identify training opportunities or process improvement measures. Completes special projects and assignments as assigned.
• Assists with pre-Assessment and configuration of change requests and answering client research questions when needed.
• Provides support to Sr. Testing and Validation Analysts as well as Lead Testing and Validation Analyst.

Supervisory Responsibilities

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written). One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 2+ years' experience or equivalent combination of education and experience

Computer Skills

Intermediate to a