Sr QA Analyst, Claims

at  Healthfirst

The Sr QA Analyst Claims assists QA team in ensuring overall quality assurance, and is responsible for driving in-sprint automation with Java, Selenium. The Sr QA Analyst Claims is responsible for bottom-line ownership for ensuring testing of all assigned initiatives are completed on time with quality outcomes. QA Lead supports and works with peers on integration, downstream testing to ensure no defects impact production processes. The Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation and enterprise test strategy definition, and embodies Healthfirst’s Culture Drivers promoting and reinforcing behavior consistent with Healthfirst culture. The role ensures all strategic and operational projects meet the highest quality by following industry recognized QA methodologies and best practices.
Job Description

MINIMUM QUALIFICATIONS:

Bachelor’s Degree required. Computer Science, Computer Information Systems, or related degrees.
5 years or more relevant experience in In-sprint and regression test automation
5 years or more relevant experience in test data automation with other health plans
5 years or more relevant experience in claims end-to-end lifecycle from QA standpoint across claims pre-processing , adjudication and post-adjudication
5 years or more hands-on expertise with Selenium, Jenkins, CT enablement
5 years or more hands-on expertise Experience in claims system for claims process testing
5 years or more Agile methodologies experience
1 year of experience in structured testing methodology, with a proven ability to breakdown requirements into high level and detailed test cases.
1 year of experience with Scorecards, Dashboards, Statement of Work (SOWs), SLAs Operational Level Agreement’s (OLAs) and Performance management metrics

PREFERRED QUALIFICATIONS:

Automation Tool certifications
Familiarity with DevOps and CI/CD related to test automation solutions.
Prior people leadership experience
Prior experience in healthcare and/or insurance industry
Working experience in Extract Transform Load (ETL) and Cloud Environment
Work experience requiring written and verbal communication that is clear, concise, grammatically correct, and professional.
Experience in Microsoft Excel and PowerPoint including the creation of process flow diagrams and/or technical process flows.
Experience with Test Automation tools
Compliance & Regulatory Responsibilities: N/A
License/Certification: N/A
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
EEO Law Poster and Supplement
All hiring and recruitment at Healthfirst is transacted with a valid “@healthfirst.org” email address only or from a recruitment firm representing our Company. Any recruitment firm representing Healthfirst will readily provide you with the name and contact information of the recruiting professional representing the opportunity you are inquiring about. If you receive a communication from a sender whose domain is not @healthfirst.org, or not one of our recruitment partners, please be aware that those communications are not coming from or authorized by Healthfirst. Healthfirst will never ask you for money during the recruitment or onboarding process.

Owns the overall roadmap of automation solutions in collaboration with development and QA team.
Develops reusable automation components for Pega based and other applications
Mentors automation engineers in team to optimize automation outcomes
Develops utilities to enable test data automation
Performs feasibility analysis and identified potential test automation opportunities
Builds the testing process and policies along with defining technical solutions and tools to support the testing framework.
Emphasizes cross functional team collaboration, analytical prioritization and internal testing audits to ensure product quality.
Ensures automation for in-sprint and regression tests in claims program
Optimizes testing techniques to ensure the highest levels of quality standards are adhered to as per agreed upon Service Level Agreements (SLA’s)
Reviews functional specifications and assists in evaluating test automation approaches.
Generates quality metrics in partnership with Release Management to provide accurate information on team performance.
Additional duties as assigned or necessary