MedImpact Healthcare Systems, Inc. logo
MedImpact Healthcare Systems, Inc.
Posted 33 days agoVerified live 2d ago

Testing & Validation Analyst I

Brief overview

Remote
UndergradOr in progress
2+ yrsMinimum
SQLOracleGolden 32Microsoft OfficeTest Plan DevelopmentQuality AssuranceBusiness Requirements DocumentationClient Specifications

About the company

MedImpact Healthcare Systems, Inc. logo
MedImpact Healthcare Systems, Inc.medimpact.com

MedImpact is the nation’s largest independent health solutions and pharmacy benefit company, serving commercial health plans, government programs, self insured/employer groups, and millions of consumers.

Job description

Summary

MedImpact Healthcare Systems, Inc. provides pharmaceutical and technology-related healthcare solutions, including pharmacy benefits management services. The Testing & Validation Analyst I tests and analyzes benefit, pharmacy, and formulary configurations in pre-production to verify accuracy, compliance with business requirements, and readiness for client delivery. The role collaborates with clients and internal teams, analyzes claims results, documents testing, and approves validated configuration changes.

Responsibilities

  • Reviews configuration completed by the Configuration Analyst team. Requires additional test scenarios to augment sub-standard test plans produced during unit testing, ensuring system claims processing accuracy and adherence with design requirements and best practices. Works with business partners to validate the accuracy of benefit changes by performing non-standard testing of complex benefit designs and reviewing and approving test claims produced by the Configuration Analyst during unit testing in a pre-production environment
  • Ensures consistent customer satisfaction by collaborating with client team counterparts, internal business partners and clients to ensure that business requirements for change requests are clearly understood, documented, communicated, tested, and delivered flawlessly. This is achieved through up-front clarification of specifications, design reviews, validation audits of existing configurations, development of best practice coding guidelines, appropriate documentation of review activities including client specifications, expected outcomes, testing methodology & processes, unit level test results, recommendations, version control, and configuration design
  • Analyzes claims adjudication results and identifies discrepancies, inaccuracies, anomalies, and unintended consequences. Makes recommendations and develops solutions to enhance the accuracy of configuration designs
  • Confirms accuracy of adjudication configurations and approves changes from the test environment to the production environment, adhering to unit procedural and quality standards and independent judgment
  • Presents test claim results to clients through WebEx demonstrations, when necessary
  • Documents the accuracy of design, configuration, and unit test plans through the Accuracy Scorecard within Salesforce, enabling the tracking of department and individual performance to identify training opportunities or process improvement measures. Completes special projects and assignments as assigned
  • Assists with pre-Assessment and configuration of change requests and answering client research questions when needed
  • Provides support to Sr. Testing and Validation Analysts as well as Lead Testing and Validation Analyst

Skills

  • BS/BA and 2+ years' experience or equivalent combination of education and experience
  • Intermediate to advanced knowledge of MS Office / Word, Excel PowerPoint, and Outlook
  • Experience as an intermediate user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32
  • The ability to run SQL queries and scripts required
  • Ability to gather and document business requirements and client specifications
  • Ability to develop, execute and document test plans as part of quality assurance/control processes and procedures
  • Demonstrated ability to positively interact with clients, internal customers and peers
  • Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results
  • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence, and procedure manuals
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
  • This position is not eligible for Sponsorship
  • Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders
  • This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done
  • One must have the ability to work nights, weekends or on holidays as required
  • This position requires domestic travel of up to 5% of the time
  • While performing the duties of this Job, the employee is regularly required to sit and talk or hear
  • The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms
  • The employee must occasionally lift and/or move up to 25 pounds

Qualifications

Must Haves

  • BS/BA and 2+ years' experience or equivalent combination of education and experience
  • Intermediate to advanced knowledge of MS Office / Word, Excel PowerPoint, and Outlook
  • Experience as an intermediate user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32
  • The ability to run SQL queries and scripts required
  • Ability to gather and document business requirements and client specifications
  • Ability to develop, execute and document test plans as part of quality assurance/control processes and procedures
  • Demonstrated ability to positively interact with clients, internal customers and peers
  • Demonstrated willingness to take accountability for achieving service commitments and a demonstrated ability to achieve results
  • Demonstrates ability to appear for work on time, follow directions from a supervisor, interact well with co-workers, understand and follow work rules and procedures, comply with corporate policies, goals and objectives, accept constructive criticism, establish goals and objectives, and exhibit initiative and commitment
  • Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
  • Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry
  • Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations
  • Ability to write reports, business correspondence, and procedure manuals
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public
  • This position is not eligible for Sponsorship
  • Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders
  • This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done
  • One must have the ability to work nights, weekends or on holidays as required
  • This position requires domestic travel of up to 5% of the time
  • While performing the duties of this Job, the employee is regularly required to sit and talk or hear
  • The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms
  • The employee must occasionally lift and/or move up to 25 pounds

Benefits

  • Medical / Dental / Vision / Wellness Programs
  • Paid Time Off / Company Paid Holidays
  • Incentive Compensation
  • 401K with Company match
  • Life and Disability Insurance
  • Tuition Reimbursement
  • Employee Referral Bonus
  • Remote work with management approval based on business requirements

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