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QA Engineer - Claims

Company: Sphinix Solutions
Location: New York
Posted on: February 25, 2021

Job Description:

Richmond , Virginia , United States - HCL Healthcare - Contract A Quality Assurance Analyst with Claims Processing experience and or Medicare/Medicaid, reviews, develops and executes exploratory, manual, and automated testing to ensure product quality. Performs all aspects of software testing using appropriate testing methods to validate the quality of the requirements and development of Burgess Products. Comfortable working across multiple application platforms and will be familiar with all aspects of software systems quality assurance and testing.

  • Demonstrates effective translation and interpretation of healthcare payment policy regulations and related product requirements
  • Demonstrates solid experience and working knowledge of MS SQL Server
  • Leverages industry best practices to design and implement test cases, debugging techniques, and corrective action processes
  • Partners effectively with product operations departments to ensure a comprehensive and cooperative approach for tracking system quality and effective resolution to product defects
  • Executes manual and automated user-interface (UI) testing for client-server applications Knowledge and Skills
    • Experience analyzing ETL mapping documents and creating SQL scripts based ETL mapping documents
    • Experience in writing SQL (medium to complex) statements to test data mapping & requirements
    • Must have a solid understanding of ETL source to target data mappings and transformation logic rules
    • Data warehouse testing experience preferred
    • Intermediate proficiency in SQL, relational databases DB2 & SQL servers is required
    • Testing of flat files/xml files knowledge required
    • Experience with mapping documents required
    • Knowledge of some or all of the following X12 files (834, 835, 837, 270/271, 278, HL7, etc.)
    • Experience with balancing and resubmissions of X12 files a plus
    • Health Insurance Industry experience is preferred

Keywords: Sphinix Solutions, New York , QA Engineer - Claims, Engineering , New York, New York

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