Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid
501 - 1000
5 days ago
Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid
501 - 1000
• Optimize and perform testing and monitoring activities for system quality • Be an SME on regulation compliance in testing • Develop, document, and execute test plans and cases • Analyze, document, and report on test results • Document and track issues identified in testing • Identify missing requirements based on test-case development • Guide other QA Analysts and share knowledge • Lead new ideas and requirements to improve systems • Conduct peer reviews of testing results and documentation • Create first draft of testing-related policies • Participate in projects to understand new functionalities • Conduct training on system processes and logic • Guide team members during issue-solving activities • Work cross-functionally for operational improvements • Participate in testing coordination meetings • Track and report key quality metrics • Gather documentation during audits • Perform additional tasks as assigned
• Associate’s Degree or Bachelor’s Degree in Business, Engineering, Healthcare, or related field (or equivalent work experience) • 3+ years of experience in health plan and pharmacy benefit management setting • Experience with testing methodologies and quality assurance practices • Experience in analyzing large data sets through dashboard tools (e.g., Tableau, QVW, Excel) • Excellent oral and written communication skills • Availability to work in a specified time zone as per business needs
• Flexible hybrid work model with on-site work days (Puerto Rico Location Only) • On-call hours availability for emergent issues • Equal employment opportunities and commitment to diversity
Apply Now5 days ago
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