Remote Sr. QA/Tester with Healthcare EDI Medicaid Medicare

About Infinite: Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes. With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency

Summary

The Healthcare Business Analyst – Payer Systems supports claims, membership, provider, billing, and utilization management operations by analyzing business needs and translating them into system and process requirements. This fully remote role collaborates with crossfunctional teams nationwide to ensure payer platforms (Facets, QNXT, Amisys, HealthEdge, Tapestry, etc.) are optimized for accuracy, compliance, and efficiency. Tester Job Description Description: Designs, develops and executes all testing-related activities on applications, infrastructure or hardware components of IT solutions. Applications and infrastructure solutions include both internally developed applications, infrastructure and 3rd party software. Responsibilities include, but are not limited to, establishing testing strategy and plan, analysis of business requirements & designs for testability, design and development of test cases, utilization of appropriate tools to develop automated test scripts, and execution of various testing types such as System, system Integration, performance and modeling. Develops the Testing components of application solutions by applying knowledge of Testing & Quality Methodology and best practices to collaborate with the Project team and client to deliver high quality solutions. Responsibilities:

• Participates as a member of the Testing Team.
• Participates as a member of the project team.
• Utilizing Gainwell Technologies testing methodology, analyzing testing requirements as the basis for developing testing scenarios for a test level to be executed on a project.
• Creates the Testing Strategy document defining the plan for project testing.
• Designs testing scenarios and test cases that will demonstrate conformance to all functional and non-functional requirements, relative to the test level, as defined in business or technical specifications.
• Executes tasks related to the production of the Test Plan, test cases, test scripts, and creates test data. Analyzes the results of the testing process and recommends solutions.
• Defines, identifies, collects, and organizes detailed information relating to testing requirements. Interact with the project team to gain an understanding of the business environment, technical context, and conformance criteria.
• Executes the test cases for completion including identify, document, and report defects.
• Understands and uses appropriate automated testing processes and tools.
• Stays current on established tools, techniques, and technologies including proficient use of Microsoft tools.
• Supports knowledge management and collaboration through participation in testing discussions, communities and improving testing collateral through lessons learned.

Education and Experience Required:

• Typically, a technical Bachelor's degree or equivalent experience and a minimum of 2 years of related experience or a Master's degree and up to two years of experience.
• Healthcare Experience
• Medicaid Experience

Knowledge and Skills:

• 5 or more years of experience in delivering testing services for various project sizes.
• Testing Healthcare and Medicaid
• Proficient in testing and development methodologies and their interaction.
• Proficient verbal and written communication skills.
• Knowledge of one or more of the following Functional Areas:
• Claims Processing
• EDI Files including 834, 837, 820,270/271, 276/277
• Financial Processing
• Member Eligibility
• Provider
• Practiced organizational and time management skills.
• Knowledgeable in requirements, design specifications, and testing strategy to: perform ambiguity analysis, perform risk analysis, establish testing priorities and scope, develop testing strategy, review testing strategy, validate requirements and specifications, develop test plans, review test plans, develop test scenarios, select test design techniques and develop testing metrics collection plan to plan and prepare for testing.
• Proficient in testing analysis and design, functional and performance models, and test specifications to: develop functional models for testing, develop performance models for testing, evaluate and validate test cases and scripts, validate functional models for testing, validate performance models for testing, develop test specifications, validate test specifications, validate testing coverage, escalate quality issues for resolution, evaluate test automation tools and validate testing environment in order to develop test specifications.
• Proficient in testing processes and tools to: execute test cases and scripts, analyze test results, report on testing progress and results, facilitate defect resolution and document final test results to execute testing engagement.
• Proficient in testing processes and testing metrics to: review test summary report, provide testing project feedback and archive testing assets to verify completion of testing.
• Proficient with Microsoft Office Word and Excel as well as has the ability to generate grammatically correct documentation.
• Ability to work independently on assigned activities, self-starter, take initiative, communicate with team members, resilient, flexible.
• Reload from JCDD

Skill Matrix Skills Rating (1-5) Years of exp. QA Testing EDI Claims, Medicaid Medicare SQL