Note: The job is a remote job and is open to candidates in USA. Meritore Technologies is seeking a Senior QA Engineer to independently validate state-specific Medicaid regulatory implementations across Facets and associated applications. The role focuses on testing regulatory changes, validating end-to-end data and system processing, assessing solution quality, and investigating gaps and defects.

Responsibilities

• Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states
• Validate end-to-end changes across: o Facets o Mainframe o Java applications o DataStage o Talend/Talend Works o APIs/interfaces o Batch systems o 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
• Ensure traceability across Regulation → Business Requirement → System Change → Test Scenario → Test Result

Skills

• Strong healthcare payer QA/testing 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: Member enrollment Eligibility Benefits Claims Claims adjudication Pricing Payment
• Experience performing quality assessments for complex regulatory implementations

Benefits

• Remote work arrangement

Company Overview

Company H1B Sponsorship