Senior Level Claims Analyst Jobs

The Sr QA Analyst Claims assists QA team in ensuring overall quality assurance, and is responsible for driving in-sprint automation with Java, Selenium. The Sr QA Analyst Claims is responsible for bottom-line ownership for ensuring testing of all assigned initiatives are completed on time with quality outcomes. QA Lead supports and works with peers on integration, downstream testing to ensure no defects impact production processes. The Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation and enterprise test strategy definition, and embodies Healthfirst’s Culture Drivers promoting and reinforcing behavior consistent with Healthfirst culture. The role ensures all strategic and operational projects meet the highest quality by following industry recognized QA methodologies and best practices.

Duties & Responsibilities:

• Owns the overall roadmap of automation solutions in collaboration with development and QA team.

• Develops reusable automation components for Pega based and other applications

• Mentors automation engineers in team to optimize automation outcomes

• Develops utilities to enable test data automation

• Performs feasibility analysis and identified potential test automation opportunities

• Builds the testing process and policies along with defining technical solutions and tools to support the testing framework.

• Emphasizes cross functional team collaboration, analytical prioritization and internal testing audits to ensure product quality.

• Ensures automation for in-sprint and regression tests in claims program

• Optimizes testing techniques to ensure the highest levels of quality standards are adhered to as per agreed upon Service Level Agreements (SLA's)

• Reviews functional specifications and assists in evaluating test automation approaches.

• Generates quality metrics in partnership with Release Management to provide accurate information on team performance.

• Additional duties as assigned or necessary

Minimum Qualifications:

Applicants must have a Bachelor's degree in Computer Science, Computer Information Systems, Business Administration or related field and 7 years of experience in the job offered or in a quality assurance analyst occupation.

Position requires:

• 6 years of experience performing in-sprint and regression test automation

• 5 years of experience performing test data automation with other health plans

• 6 years of experience in claims end-to-end lifecycle from a QA standpoint across claims pre-processing, adjudication and post-adjudication

• 6 years of experience with Talend, Selenium, Jenkins, CT enablement

• 5 years experience in claims system for claims process testing

• 6 years of experience in Agile methodologies

• 6 years of experience in structured testing methodology

• 6 year of experience with Scorecards, Dashboards, Statement of Work (SOWs), SLAs Operational Level Agreement's (OLAs) and Performance management metrics

• Professional, Academy for Health Care Management (PAHM) Certification

Any applicant who is interested in this position may apply online at http://careers.healthfirst.org or mail resume to HF Management Services, LLC, Attn.: Brandon Gottlieb.

Hiring Range*:

• Greater New York City Area (NY, NJ, CT residents): $148,990 - $165,000

• All Other Locations (within approved locations):

  $148,990 - $165,000

As a candidate for this position, your salary and related elements of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors Healthfirst deems pertinent to the hiring decision.

In addition to your salary, Healthfirst offers employees a full range of benefits such as, medical, dental and vision coverage, incentive and recognition programs, life insurance, and 401k contributions (all benefits are subject to eligibility requirements). Healthfirst believes in providing a competitive compensation and benefits package wherever its employees work and live.

• The hiring range is defined as the lowest and highest salaries that Healthfirst in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.

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