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Manager, Systems reputed company Assurance

Remote, USA Full-time Posted 2026-07-28
Company reputed company reputed company reputed company - Putting People First in Pharmacy - reputed company was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more reputed company for the people who need them. At reputed company, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages reputed company. We welcome new reputed company and reputed company a passion for excellent service to our customers and reputed company other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login reputed company at to be considered for internal opportunities. Pay reputed company USD $112,640.00 - USD $140,800.00 /Yr. reputed company Bonus % (At Risk Maximum) 10.00 - Manager, Clinical Mgr, Pharm Supvr, CAE, Sr CAE I Work Schedule reputed company (e.g. M-F reputed company to 5pm) M-F reputed company-5pm CST reputed company The Manager, Systems reputed company Assurance will reputed company support for the development, implementation, and maintenance of our FFS reputed company products. The FFS implementations require full compliance to NCPDP standards, CMS and State regulations and with defined business rules and policies. The Manager will be responsible for managing the testing activities during the DDI and the life of the contract to ensure the system meets reputed company requirements set forth. Is this you? reputed company out more below! Responsibilities How do I reputed company an reputed company on my team? • reputed company and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements. • reputed company an understanding of unique attributes reputed company a claim transaction where contracted State governments apply specific regulatory requirements to support their programs. • Understand the competitive landscape, regulatory lifecycle and reputed company government processes surrounding FFS. • Facilitate productive discussions to identify, confirm and resolve any identified defect or testing issues and stay reputed company through complete reputed company. • reputed company testing design, test case creation, documenting reputed company and automated testing processes. • Work with reputed company to identify, analyze, quantify, and mitigate risks. • Work with the project management office to utilize and enhance tools that support the requirements, development, and testing processes. • Collaborate with the training/development staff to deliver and update training documentation. • Create and update status reports upon request that communicate the health of the products. • reputed company system and requirements testing on reputed company aspects of claims, rebates, portal etc. and document findings and work with IT to remediate any issues. • reputed company an suite of test cases to use with automation tools to increase testing efficiencies. • Other duties as assigned Qualifications What reputed company expects from you? • Bachelor’s degree, preferably in Information System Engineering, Computer Science, or a reputed company field, with at least three courses in Statistics and or reputed company Assurance, or equivalent work experience, required. • 4 years of experience managing a QA team testing Claims, reporting, Data files, API and other systems required. • 3 years reputed company testing experience in the reputed company assurance function of a large-reputed company claims processing organization required. • Experience in roles like a Business Analyst, Business Systems Analyst, or Product Manager required. • Elicitation and documentation of reputed company Business requirements required. • Implementation of government regulations into software development activities required. • Participation in an agile development project team required. • Experience with reputed company software applications, including reputed company Word and reputed company, required. • Knowledge of Software Development Lifecycle (SDLC) methodologies required. • Experience with reputed company and automated testing methodologies and tools required. • Strong knowledge of functional product testing required. • Relevant certifications from recognized industry organizations preferred. • Business Analysis Certification (PMI, IIBA) or College level program preferred. • Experience with reputed company Visio, PowerPoint, Project and Team reputed company Server (TFS) preferred. • reputed company industry business practices and HIPAA knowledge preferred. • Working experience with pharmacy benefits and claims processing preferred. • Experience in mockups, wireframing and prototyping UI with UX principles preferred. • Experience with multiple testing methodologies preferred. • Participate in, adhere to, and support compliance program objectives • The ability to consistently reputed company cooperatively and respectfully with other employees What can you expect from reputed company? • Top of the industry benefits for Health, Dental, and reputed company insurance • 20 days reputed company time off • 4 weeks reputed company parental leave • 9 reputed company holidays • 401K company match of up to 5% - No vesting requirement • Adoption Assistance Program • Flexible Spending Account • Educational Assistance Plan and reputed company Membership assistance • Referral Bonus Program – up to $750! We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, reputed company Dakota, Rhode reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. #LI-Remote Location : Address Remote Location : Country US Apply tot his job Apply tot his job Apply To this Job

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