• Job Description

  Req#: R9608

  Job Summary

  We are seeking a highly skilled Operations Software Quality Analyst II to join our team, specializing in Facets Benefits Configuration testing.

  In this role, you will collaborate with developers, QA team members, and managers to execute end-to-end testing processes.

  Your contributions will ensure near-zero defect leakage into production and strict adherence to SLA timelines.

  This position requires hands-on experience in benefits configuration testing, including CES and workflow. Please apply only if you meet this requirement.

  Validate Facets Benefits Configuration
  Perform detailed testing and validation of benefits configuration related to Cost Share, Limits, and Pre-Authorization:

  • Strong working knowledge of configuration components including:

    • Base Mapping: TPCT, RCCT, SECT, TPPX

    • BPA: SPCR, SRCR

    • Supplemental: SPCT, SRCT

    • Other Components: SEDF, SEPY, IPMC, LTLT, LTSE

  • Conduct Product/Shell configuration testing, including verification of Class/Plan IDs and Product IDs

  • Leverage deep understanding of the TriZetto Facets database to perform core table queries and ensure data accuracy

  Validate Facets Workflow and CES Configuration

  • Test Workflow and PCA configurations for Medicaid, Medicare, and Duals programs

  • Validate new and existing queue configurations, including override scenarios

  • Execute CES testing to validate denials and clinical edits

  Education and Experience:

  • Bachelor’s Degree or equivalent years of relevant work experience is required

  • Minimum of five (5) years of experience in application quality assurance required

  Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

  Compensation Range:

  $61,500.00 - $98,400.00

  CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

  Compensation Type (hourly/salary):

  Salary

  Organization Level Competencies

  • Create an Inclusive Environment

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business

  
  

  This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

  #LI-GB1

• About the company

  CareSource is a nonprofit that began as a managed health care plan serving Medicaid members in Ohio.

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