Open role
[Remote] QA Engineer with Facets
Note: The job is a remote job and is open to candidates in USA. Talent Groups is seeking a Senior QA Engineer with Medicaid payer and Facets expertise. The role independently validates state-specific regulatory implementations across Facets and related systems, including end-to-end testing of enrollment, eligibility, benefits, claims, pricing, and payments.
Responsibilities
- Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states
- Validate end-to-end changes across:
- Facets
- Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments
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: o Member enrollment o Eligibility o Benefits o Claims o Claims adjudication o Pricing o Payment
- Experience performing quality assessments for complex regulatory implementations
Company Overview
Company H1B Sponsorship