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*Hiring: ​QA Analysy / Columbia, SCDirect Client​​​Job itle: QA
AnalysyLocation: Columbia, SCDuration: 12 MonthsClient: Department of
Health and Human ServicesDirect Client Position Looking for someone who as
experience with HIPAA and ICD-10. Medicaid experience is a big plus.
Descripation:The ICD-10 initiative is among the most complex IT projects
taken on by the State’s Department of Health and Human Services. This
project is a multi-year effort to enhance many of the State’s aging
Medicaid business processes and associated systems.Serves as a liaison
between the business community and the IT organization in order to provide
technical solutions to meet user needs. Possesses expertise in the business
unit(s) they support, as well as, an understanding of the IT organization's
systems and capabilities. Analyzes business partner's operations to
understand their strengths and weaknesses to determine opportunities to
automate processes and functions. Assists in the business process redesign
and documentation as needed for new technology. Translates high level
business requirements into functional specifications for the IT
organization and manages changes to such specifications. Educates the IT
organization on the direction of the business. Negotiates agreements and
commitments by facilitating communication between business unit(s) and IT
from initial requirements to final implementation. Possesses an
understanding of technological trends and uses this knowledge to bring
solutions to business units supported to enhance the enterprise's
competitive edge. May make recommendations for buy versus build
decision.DAILY DUTIES / RESPONSIBILITIES:Testing Analyst will be
responsible for working with SCDHHS Medicaid stakeholders to identify and
create test cases and scenarios, execute scenarios, document results and
follow through on necessary retests.Testing Analyst must have strong
Healthcare claims comprehension, extensive hands-on testing with all
aspects of claims processing/business process and also be able to work
closely with the business units and sub-teams to ensure their processes are
fully tested.Testing Analyst will be responsible for planning, development,
execution and management reporting of end-to-end and External Trading
Partner test scenarios for SCDHHS Medicaid business. ? The Tester will be
functioning within a dynamic environment that will require vigilance to
deadlines, traceability and teamwork.Must possess strong technical
debugging and troubleshooting skills coupled with strong analytical and
communication skills. Experience collaborating with business analysts and
Development engineers to design test cases and provide test data
requirements that focus on business flows across integrated systems.
?Having experience with JIRA or other test automation tools would be a
plus. Must be an independent self-starter able to take on responsibility
for analyzing test results and understanding healthcare products in order
to design appropriate test cases.REQUIRED SKILLS (RANK IN ORDER OF
IMPORTANCE):THE ABILITY TO:Have demonstrated claim processing testing
experience in the healthcare industry (preferably Medicaid) ?Strong
analytical skills and experience with implementation and management of
softwareKnowledge of QA and process metrics to measure and improve the
quality of the processes and final product ?Excellent problem solving
skillsSelf-motivated, independent, self-starter. ?Have a passion for
achieving excellence in product quality and reliability ?Have experience in
working with distributed team members ?Be extremely detail-oriented with
respect to documentation and communication?Strong database skillsPREFERRED
SKILLS (RANK IN ORDER OF IMPORTANCE):At least 5 years of experience working
in a healthcare environment (preferably Medicaid)Strong regulation
knowledge of both HIPAA 5010 transaction set and ICD-10
initiatives.REQUIRED EDUCATION:Bachelor’s degree in a technical, business,
or related field. Years of experience can substitute for formal
education.MMIS - Medicaid Management Informaiton System       HIPAA 5010
transaction set          No
1                                              MMIS - Medicaid Management
Informaiton System       ICD-9/ICD-10 - International Statistical
Classification of Diseases and Related Health Problems
No          1                                              MMIS - Medicaid
Management Informaiton System       Medicaid             No
1                                              Quality Assurance (QA)
Claim processing testing experience in the healthcare industry (preferably
Medicaid)     Yes
1                                              Quality Assurance (QA)
Knowledge of QA and process metrics to measure and improve the quality of
the processes and final productPlease send resume
to alb...@cncconsulting.com <alb...@cncconsulting.com>*

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