[Remote] Senior QA Engineer – Facets & Medicaid Regulatory Solutions

Note: The job is a remote job and is open to candidates in USA. Lorven Technologies is recruiting for an unnamed client seeking a Senior QA Engineer. The role independently validates state-specific Medicaid regulatory implementations across Facets and related systems, including end-to-end, integration, and data testing.

Responsibilities

• Must Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states
• You should Validate end-to-end changes across: Facets, Mainframe, Java applications, DataStage, Talend/TalendWorks, APIs/interfaces, Batch systems, Upstream/downstream applications
• Must have experience with Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments
• You should Validate Mainframe and Java batch/interface processing
• Must 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
• Must Identify gaps between regulatory requirements, requirements documentation, technical implementation, and actual system behavior

Skills

• Bachelor's degree or Master's Degree in Computer science, or a related field, with minimum 12+ years of experience
• Strong Medicaid payer and Facets expertise
• Must Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states
• You should Validate end-to-end changes across: Facets, Mainframe, Java applications, DataStage, Talend/TalendWorks, APIs/interfaces, Batch systems, Upstream/downstream applications
• Must have experience with Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments
• You should Validate Mainframe and Java batch/interface processing
• Must Perform ETL and source-to-target data validation
• Conduct functional, integration, end-to-end, regression, negative, and boundary testing
• Must Identify gaps between regulatory requirements, requirements documentation, technical implementation, and actual system behavior
• Good 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

Company Overview

Company H1B Sponsorship