Senior QA Engineer – Facets & Medicaid Regulatory Solutions :: NO OPT/ CPTs :: 8-10+ Years Experience Must
Vaspire Technologies Inc. · Massachusetts, United States
Tailor my CV for this job — freeRole: Senior QA Engineer – Facets & Medicaid Regulatory Solutions
- Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states.
- Validate end-to-end changes across:o Facetso Mainframeo Java applicationso DataStageo Talend/TalendWorkso APIs/interfaceso Batch systemso Upstream/downstream applications
- Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments.
- Validate Mainframe and Java batch/interface processing.
- 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.
- Identify gaps between regulatory requirements, requirements documentation, technical implementation, and actual system behavior.
- Perform SQL-based data validation and reconciliation.
- Conduct defect analysis and support root-cause investigation.
- Ensure traceability across Regulation → Business Requirement → System Change → Test Scenario → Test Result.Required Experience
- 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 enrollmento Eligibilityo Benefitso Claimso Claims adjudicationo Pricingo Payment
- Experience performing quality assessments for complex regulatory implementations.