Senior Facets QA Engineer

Seeking a Senior QA Engineer with strong Medicaid payer and Facets expertise to independently validate state-specific regulatory implementations across Facets, Mainframe, Java, DataStage, Talend/TalendWorks, and associated applications.

Key Responsibilities

• Analyze Medicaid regulatory requirements and develop comprehensive test scenarios for individual states.

• Validate end-to-end changes across:

o Facets

o Mainframe

o Java applications

o DataStage

Test regulatory changes involving member enrollment, eligibility, benefits, claims adjudication, pricing, edits, and payments.

Required Experience

• Strong healthcare payer QA/testing experience.

• Strong testing knowledge of TriZetto Facets.

• Testing experience across Mainframe and Java-based applications.

• Experience validating DataStage and Talend/TalendWorks processes.

• SQL and database testing skills.

• Strong Medicaid managed-care knowledge.

• Experience with state-specific Medicaid requirements.

• Good Medicare and Medicaid health-plan knowledge.

• Strong understanding of:

o Member enrollment

o Eligibility

o Benefits

o Claims

o Claims adjudication

o Pricing

o Payment

• Experience performing quality assessments for complex regulatory implementations.