Manager, Systems Quality Assurance

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

What our team expects from you?

• 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.
• 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.
• Participate in, adhere to, and support compliance program objectives
• The ability to consistently interact cooperatively and respectfully with other employees

What can you expect from Navitus?

• 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!

We are unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.

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