Navitus Health Solutions · 14 hours ago
Manager, Systems Quality Assurance
United States
Contract
Remote
Mid, Senior Level
$113K/yr - $141K/yr
4+ years expNavitus Health Solutions is committed to making medications more affordable through innovative pharmacy benefit management. The Manager, Systems Quality Assurance will oversee testing activities for FFS Medicaid products, ensuring compliance with regulatory standards and effective implementation of business rules.
Health CareInformation Technology
Responsibilities
Develop and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements
Develop an understanding of unique attributes within a claim transaction where contracted State governments apply specific regulatory requirements to support their programs
Understand the competitive landscape, regulatory lifecycle and related government processes surrounding FFS
Facilitate productive discussions to identify, confirm and resolve any identified defect or testing issues and stay engaged through complete resolution
Perform testing design, test case creation, documenting outcomes and automated testing processes
Work with the team 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
Perform system and requirements testing on all aspects of claims, rebates, portal etc. and document findings and work with IT to remediate any issues
Develop an suite of test cases to use with automation tools to increase testing efficiencies
Other duties as assigned
Qualification
Required
Bachelor's degree, preferably in Information System Engineering, Computer Science, or a related field, with at least three courses in Statistics and or Quality 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 progressive testing experience in the quality assurance function of a large-scale claims processing organization required
Experience in roles like a Business Analyst, Business Systems Analyst, or Product Manager required
Elicitation and documentation of Medicaid Business requirements required
Implementation of government regulations into software development activities required
Participation in an agile development project team required
Experience with core software applications, including Microsoft Word and Excel, required
Knowledge of Software Development Lifecycle (SDLC) methodologies required
Experience with manual and automated testing methodologies and tools required
Strong knowledge of functional product testing required
Preferred
Relevant certifications from recognized industry organizations preferred
Business Analysis Certification (PMI, IIBA) or College level program preferred
Experience with Microsoft Visio, PowerPoint, Project and Team Foundation Server (TFS) preferred
Healthcare 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
Benefits
Top of the industry benefits for Health, Dental, and Vision insurance
20 days paid time off
4 weeks paid parental leave
9 paid holidays
401K company match of up to 5% - No vesting requirement
Adoption Assistance Program
Flexible Spending Account
Educational Assistance Plan and Professional Membership assistance
Referral Bonus Program – up to $750!
Company
Navitus Health Solutions
Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company.
1001-5000 employees
H1B Sponsorship
Navitus Health Solutions has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageLeadership Team
George Hepburn
SVP and Chief Financial Officer
Peter Beste
CFO
Recent News
Company data provided by crunchbase