Virginia Premier Health Plan, Inc.

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Business QA Analyst

Business QA Analyst

Job Locations 
US-VA-Glen Allen
Job ID 
2017-4318

Job Description

Overview

The Business QA Analyst is responsible for developing a comprehensive knowledge of the Enrollment Medicaid Operation’s business and applications. Responsible for developing and performing comprehensive testing functions. Incumbent will be responsible to learn and demonstrate performance of Enrollment functions, specifically the loading, processing and validating of enrollment files. 

Responsibilities

  • Performs comprehensive application and workflow testing including unit testing, integrated system testing, regression testing, end to end testing, version or upgrade testing, report testing and conversion testing, as appropriate.
  • Develops strategies and appropriate test execution plans. Incumbent will create test data, write and execute test scripts, develop comprehensive test plans and coordinate testing and production deployment of application changes and updates. Incumbent will certify all testing results of the system/application changes prior to go live.
  • Works closely with the operation analysts, IT development team, vendor development team, and others as appropriate to understand technical and business requirements and convert those requirements into system test case scenarios.
  • Develops a common, scalable, reusable, easy-to-maintain, and effective testing framework.
  • Identifies, documents, reports, and tracks system application software defects. Writes application Change Requests as necessary to correct application logic or to add new functionality based on business requirements identified.
  • Mentors and guides team members in testing functions as necessary.
  • Demonstrates knowledge and ability to perform Enrollment functions by loading and reconciling the 834 file received from the Department of Medical Assistance Services. Serves in a backup capacity to other team members in these Functions.
  • Creates complex SQL queries in order to perform data analysis and validation of backend data.
  • May perform other operational activities as assigned.

Qualifications

MINIMUM EDUCATION REQUIREMENTS

  • Bachelor degree in business, computer science or related field of study strongly preferred, or commensurate experience in lieu of degree.

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Experience in Software Quality Assurance, with a strong working knowledge of System Development Live Cycle (SDLC).
  • Demonstrated experience analyzing business and technical requirements in order to develop test plans, scripts, and scenarios.
  • Demonstrated and proficient skills writing and executing SQL queries.
  • Extensive understanding of database tables, relations, data types and values, multiple joins, and comfortable using functions (count, sum, average, etc.).
  • Proficient in the use of Microsoft Excel, comfortable utilizing functions, pivot tables, performing lookups, sorting and filtering etc.
  • Ability to solve technical problems. Excellent interpersonal, verbal, and written communication skills and the ability to effectively interact with a variety of team members, departments and management.
  • Healthcare experience with Medicaid Operations is preferred.
  • ANSI 834 EDI Benefit Enrollment files preferred.
  • Cognizant’s QNXT Healthcare platform preferred.

WORK BACKGROUND/EXPERIENCE

  • 3+ years of experience developing, creating and executing manual test cases.
  • 3+ years SQL writing, executing and validating backend data.

PHYSICAL REQUIREMENTS

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

 

About Us

Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 

 

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  

 

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

 

Our mission is to inspire healthy living within the communities we serve!

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