Offer summary

Qualifications:

Bachelor’s Degree or equivalent work experience required., Minimum of five years in application quality assurance is necessary., Hands-on experience in benefits configuration testing is essential., Strong knowledge of TriZetto Facets database and configuration components is required..

Key responsibilities:

Collaborate with developers and QA team members to execute end-to-end testing processes.

Perform detailed testing and validation of benefits configuration related to Cost Share, Limits, and Pre-Authorization.

Conduct Product/Shell configuration testing and validate Workflow and CES configurations.

Ensure data accuracy through core table queries and validate new and existing queue configurations.

Job description

Job Summary

We are seeking a highly skilled Operations Software Quality Analyst II to join our team, specializing in Facets Benefits Configuration testing.

In this role, you will collaborate with developers, QA team members, and managers to execute end-to-end testing processes.

Your contributions will ensure near-zero defect leakage into production and strict adherence to SLA timelines.

This position requires hands-on experience in benefits configuration testing, including CES and workflow. Please apply only if you meet this requirement.

Validate Facets Benefits Configuration
Perform detailed testing and validation of benefits configuration related to Cost Share, Limits, and Pre-Authorization:

Strong working knowledge of configuration components including:
- Base Mapping: TPCT, RCCT, SECT, TPPX
- BPA: SPCR, SRCR
- Supplemental: SPCT, SRCT
- Other Components: SEDF, SEPY, IPMC, LTLT, LTSE

Conduct Product/Shell configuration testing, including verification of Class/Plan IDs and Product IDs
Leverage deep understanding of the TriZetto Facets database to perform core table queries and ensure data accuracy

Validate Facets Workflow and CES Configuration

Test Workflow and PCA configurations for Medicaid, Medicare, and Duals programs
Validate new and existing queue configurations, including override scenarios
Execute CES testing to validate denials and clinical edits

Education and Experience:

Bachelor’s Degree or equivalent years of relevant work experience is required
Minimum of five (5) years of experience in application quality assurance required

Working Conditions:

General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$61,500.00 - $98,400.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies