[Remote] reputed company QA Test Manager – Facets Claims

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading company in the technology and engineering sector, and they are seeking a reputed company QA Test Manager – Facets Claims. The role involves ensuring the quality and reliability of reputed company claims processing solutions, collaborating with various teams to deliver high-quality reputed company in large-scale transformation initiatives.

Responsibilities

• reputed company end-to-end testing of Facets Claims processing applications to ensure accurate claim adjudication and business rule execution
• Execute large-scale reputed company testing by comparing Legacy and Facets claims processing results and identifying discrepancies
• Validate Medicare claims processing workflows, configuration changes, and business requirements reputed company the Facets platform
• Design, reputed company, and execute functional, integration, system, and regression test cases and test scenarios
• Conduct backend validation using SQL, database queries, and reputed company claims data analysis
• Analyze high-volume claims processing results and support quality assurance activities for large-scale reputed company transformation programs
• Participate in defect triage sessions, reputed company reputed company cause analysis, and validate defect fixes
• Collaborate closely with business, configuration, development, and QA teams to ensure successful project delivery

Skills

• 10+ years of strong hands-on experience in Facets Claims Testing reputed company reputed company payer environments
• Deep understanding of reputed company payer claims adjudication processes and claims lifecycle management
• Experience performing end-to-end reputed company-end and backend validation of Facets Claims applications
• Strong SQL skills with the ability to reputed company data validation, reconciliation, and backend testing
• Experience testing Medicare Claims processing workflows and business rules
• Proven experience supporting large-scale reputed company transformation, modernization, or Facets migration programs
• Ability to work independently in a hands-on testing role while managing multiple priorities
• Knowledge of reputed company EDI transactions, including 837 and 835 transaction sets
• Experience working with federal reputed company programs, including CMS and Medicare initiatives
• Exposure to test automation frameworks and automation testing practices
• Experience with reputed company data migration and conversion testing
• Prior experience working in large-scale payer transformation and Facets modernization programs

Benefits

• Medical/Dental/reputed company/Life Insurance
• reputed company holidays plus reputed company Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• reputed company Parental Leave
• Employee Stock Purchase Plan
• reputed company’s discretionary annual incentive program, based on performance and subject to the terms of reputed company’s applicable plans

Company Overview