Testing Specialist

This is a fully remote position, open to applicants in Alabama, +44 more locations.

📋 Description

• Design and implement thorough testing procedures for system improvements and new products and processes, encompassing claims, enrollment, provider contracts, and benefits administration.

• Develop and carry out established unit testing methods to conduct quality audits on vendor contracts prior to their implementation.

• Assist in testing straightforward system enhancements.

• Create and execute detailed test plans and scripts to audit vendor contracts, ensuring quality and precision.

• Confirm system functionalities align with user requirements and set guidelines.

• Adhere to standardized best practices for documenting and executing simple to moderately complex test plans.

• Validate testing outcomes, document any discrepancies, and pursue resolutions.

• Update management on the progress of problem resolutions.

• Relay testing results to end users for their approval.

• Act as a liaison between system end users and the IT department.

• Perform additional duties as necessary.

⛳️ Requirements

• A minimum of 2 years of relevant experience in a service center medical claims (excluding RX claims) processing or managed care operational role.

• At least 1 year of recent experience in system processing, payment, and benefits, preferably with IDX managed care.

• Extensive understanding of medical terminology, claims processing, cost containment practices, coordination of benefits, diagnosis coding, and general customer service resources.

• Exceptional verbal and written communication abilities.

• High School Diploma or GED required.

• Preferred: Experience with QNXT managed care.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.