Senior Test / Qa Analyst

Impresiv Health

Huntington Beach, California, US
Remote
Hipaa edi transaction testing experience
Health plan claims adjudication knowledge
Sql validation for test data
This role involves designing and executing comprehensive test strategies for health plan claims processing systems in a fast-paced payer environment

Job Summary

  • This role involves designing and executing comprehensive test strategies for health plan claims processing systems in a fast-paced payer environment.
  • Candidates must validate HIPAA-compliant EDI transactions including 837, 835, and 270/271 sets while ensuring regulatory compliance.
  • The position requires deep functional knowledge of medical claims adjudication workflows including COB, subrogation, and remittance processing.

Matching Summary

This role involves designing and executing comprehensive test strategies for health plan claims processing systems in a fast-paced payer environment.

Skills & Requirements

Must-have

  • HIPAA EDI transaction testing experience
  • Health plan claims adjudication knowledge
  • SQL validation for test data
  • Core claims administration platform expertise
  • End-to-end QA process execution

Nice-to-have

  • Experience with pharmacy claims testing
  • Familiarity with test automation tools
  • Mentoring junior QA analysts
  • Knowledge of Medicare Advantage processing
  • Strong analytical troubleshooting skills

Key Requirements

  • 5 years of QA/testing experience
  • 3 years supporting health plan claims systems
  • Bachelor's degree or equivalent experience
  • Proficiency with SQL and claims platforms

Work Rights

Not specified

Tailored Resume

Cover Letter