What are the responsibilities and job description for the Senior Healthcare Claims QA Analyst position at Career Soft Solutions Inc?
Job Title: Senior Healthcare Claims QA Analyst / Tester
Location: Hartford, CT preferred; remote is also acceptable.
Job Description
We are seeking an experienced Healthcare Claims QA Analyst/Tester with 7–9 years of experience in the Healthcare domain and strong functional knowledge of healthcare claims and claims processing. The ideal candidate should understand end-to-end claims workflows and be comfortable working within an Agile delivery environment.
Required Skills
- 7–9 years of overall Healthcare domain experience
- Strong Healthcare Claims domain knowledge
- Strong understanding of claims processing and adjudication
- Experience with software testing methodologies and QA lifecycle
- Good understanding of Agile/Scrum ways of working
- Strong analytical, troubleshooting, and communication skills
- Ability to work with business and technical teams
Mainframe knowledge/experience is required for this requirement.
Preferred Skills
- Exposure to healthcare payer platforms and EDI transactions such as 837/835 is advantageous. Similar internal claims-testing work has involved claims adjudication, 837 Professional/Institutional claims, 835 remittance, and payer platforms.