Quality Assurance Analyst

2 hours ago

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Abarca Health

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Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid

501 - 1000

Description

• Optimize and perform testing and monitoring activities to ensure the quality of the systems and processes supporting the company’s operation. • Be an SME on all lines of business (Medicare, Medicaid, commercial, etc) and stay current with regulatory guidelines, ensuring testing complies with rules and regulations. • Develop, document, and execute test plans, and test cases and/or scripts based on functional requirements. • Analyze, document, and report on test results to business stakeholders, company leads or external clients. • Document and track issues identified during testing activities to ensure defect resolution and testing completion. • Identify missing requirements based on test-cases development and testing experience. • Guide other QA Analysts as they learn what you already know and share the knowledge. • Lead development of new ideas and requirements to resolve testing and system’s issues, and improve current systems based on testing results by collaborating within the department and outside the department. • Design testing documentation templates and testing scope as required by new client implementations. • Conduct peer reviews of testing results and documentation to ensure the quality of the work being provided to the client on an as need basis. • Create the first draft of policies and procedures related to testing and quality activities and assist in the ongoing maintenance of said policies. • Participate on projects and new client implementations to gather understanding on new system functionalities and requirements that will require testing and/or monitoring. • Create and conduct training on system logics and/or processes and be the champion that the team goes to when they have questions. • Guide team members during issue-solving activities, new business requirements gathering, and day-to-day system operation. • Work cross-functionally to properly carry out changes and evaluate impact of new system requirements. • Participate in Prioritization and/or Request Management Meetings to coordinate testing when new functionalities are implemented. • Lead the way in tracking and reporting of key quality metrics to monitor testing efforts and results. • Gather proper and accurate documentation and data during internal and external audits related to the Company’s PBM processes. • Perform additional tasks or special projects as assigned.

Requirements

• Associate’s Degree or Bachelor’s Degree in Business, Engineering, Healthcare, or related field. (In lieu of a degree, equivalent relevant work experience may be considered.) • 3+ years of experience or equivalent in a health plan and pharmacy benefit management setting. • Experience with testing methodologies, troubleshooting, root cause analysis, quality assurance practices and tools. • Experience in analyzing large data sets through dashboard tools (e.g., Tableau, QVW and Excel tools). • Excellent oral and written communication skills in Spanish and English. • This position requires availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands. • This position requires availability to work in a specified time zone, accommodating the business needs of our clients and team members based in the determined time zone. • Experience with software development life cycle and quality assurance. • Experience with pharmacy benefit management operational standards and processes, Medicare Part D, and CMS regulations.