Program Manager/Healthcare Payor QA Analyst
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Program Manager/Healthcare Payor QA Analyst
Remote
- Solid understanding of the healthcare payor enterprise IT landscape.
- Experience in testing payor core administration processing systems, such as HealthRules, Facets, QNTX, etc.
- In-depth knowledge of payer business functions, data exchanges, and integrations/interfaces.
- Expertise in end-to-end claims processing workflows, including member enrollment, EDI processing, benefit plans, claims payouts, and edits.
- Skilled in designing and creating test plans, test strategies, and estimations.
- QA testing experience with a thorough grasp of the STLC; ability to create test scenarios and cases, perform reviews, and execute all levels of testing (System, Integration, and Regression).
- Strong written and verbal communication skills, along with interpersonal and team collaboration skills.
- Proven experience in analyzing requirements.
- Skilled in requirements traceability, root cause analysis (RCA).
- Familiarity with Agile/Scaled Agile methodologies, processes, and tools, such as Jira, ALM, etc.
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