[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