PBABusinessQualityAssuranceAnalyst

The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within the PBA Business space.

MES PBA Business Quality Assurance Analyst - Job Description

NC Department of Health and Human Services (DHHS) seeks a Pharmacy Benefits Administrator (PBA) Product Integration Specialist to join the Medicaid Enterprise System (MES) project.

The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System(MES) Program within the PBA Business space. This position is responsible for the following activities to implement the PBA application for DHB Pharmacy Business.

• Experience assessing the testability of the requirements and providingbusinessguidance in developing the test case scenarios and quality assurance based on the business requirements.
• Experience in validating the test results and evaluating thequalityassurance to concur they meet the business vision.
• Experience in performingqualityassurance across different stages of the application testing such as Integration testing, User Acceptance Testing, Regression Testing and State End to End Testing.
• Collaborates and communicates with workgroups around product deliverables with PBA project team, Product Owners andBusinessLeads.
• Experiencing in performing thequalityassurance on the regression testing cases and provide the business guidance and expectations to achieve the business vision.
• Experience with the test and defect management tools, MF ALM and JIRA preferred.
• Work with end users to ensure user acceptancetesting is through and complete.
• Experience with Agile Methodology and Scrum.
• Experience in validating automation testing scenarios and definebusinessexpectations.
• Collaborate with the production manager and product owner to analyze requirements and identify use cases and test case scenarios required to be executed for the module.
• In-depth knowledge and understanding of all functions andbusinesssegments in healthcare that meet departmental goals.
• Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for product solutions.
• Must have experience with Medicaid/Health Care and/or Managed Care areas.
• Good understanding of CMS MITA Framework across MedicaidBusinessArchitecture, Information Architecture and Technical Architecture initiatives and activities.
• Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas.
• Provide in-person, conference calls, or virtual training on product knowledge, usage, and implementation.
• Ensures compliance with all applicable policies and procedures.
• Supporting the product lifecycle from conception through implementation.
• Adhere to the Product Management guidelines.
• Familiarity with CMS Certification process

This position will work integrally with PBA Project Team, State QAU team, PBA vendor and Business core to support maintaining and managing all the Product artifacts to achieve theBusiness goals and help to manage the launch of features and systems.

Skill	Required / Desired	Amount	of Experience
Expert knowledge of the Medicaid Pharmacy (PBA) processes, roles, and intended outcomes	Required	3	Years
Knowledge of the Enterprise IT Systems integration principle and associated change management best practices	Required	5	Years
Demonstrate ability to manage multiple priorities and projects, and function in a fast passed moving constantly changing, deadline-driven environment	Required	5	Years
Proficient in Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software	Required	5	Years
Experience in creating test cases and defining the business test scenarios and use cases	Required	5	Years
Experience with Defect Management and Testing tools, JIRA MF ALM are preferred.	Required	5	Years
Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in	Required	5	Years
Proven experience and working knowledge of the agile development methodologies, environment, and tools	Highly desired	5	Years
Experience using or implementing Cloud technologies Iaas, Paas, Saas	Highly desired	5	Years
Experience handling HIPPA and PII data	Required	5	Years
Ability to gather data via diverse means (i.e., interviews, observation, surveys, existing written documentation) and interpret relevant information	Highly desired	5	Years
Managed care knowledge or experience	Required	3	Years
MITA knowledge and understanding of the CMS s Seven Standards and conditions	Required	5	Years
Medicaid program knowledge or related Healthcare Information experience	Required	5	Year

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