QA Analyst - CDPHP - Albany, NY

For more than 30 years, CDPHP has been providing outstanding health care coverage in the Capital Region of New York and beyond. Based in Albany, NY, the physician-guided not-for-profit offers plans in 24 counties. CDPHP cares deeply about the health and well-being of its members as well as its employees. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience. The QA Analyst is responsible for solution delivery activities specifically related to verification and validation of application/product related changes as well as the development and maintenance of Quality policies, procedures and standards to support those activities. They will develop and maintain test suites and cases, test execution and supporting validation activities throughout the SDLC. In addition, they will be responsible for supporting test environment management activities, test tool management, metrics, reporting and continually identifying opportunities for improvement as well as implementing solutions. This individual must have a strong understanding of health insurance payment (claims, capitation, or commissions) processing, member/group enrollment, billing, data profiling, Software Development Life Cycles, Quality Assurance testing activities, and supporting test methodologies.

QUALIFICATIONS: Associates degree required. Three (3) years relevant experience may be substituted for degree. Certification through the International Software Testing Qualifications Board (ISTQB) at the foundation level (CTFL) or above preferred. Strong working knowledge of Test Maturity Model Integration (TMMi) preferred. Minimum of three (3) years healthcare insurance programs, processes, configuration and/or claims processing, or customer service experience with specialization in benefits, pricing, and provider configuration is required. Minimum two (2) years experience in testing complex applications required. Minimum five (5) years of overall QA and software testing experience with an understanding of functional, integration, system, and regression testing preferred. Proven experience experience with a test management tool – such QA Symphony is preferred. A minimum of two (2) years’ experience writing intermediate level SQL queries. Preference given to candidates with proven experience in healthcare insurance programs, processes, configuration and/or claims processing, or customer service experience with specialization in benefits, pricing, and provider configuration is required. Certified Professional Coder (CPC) certification preferred. Knowledge of healthcare and HMO processes, rules, regulations, enrollment/eligibility guidelines and reporting requirements for HMO, PPO, ASO, Medicare, Medicaid, Family Health Plus, and Child Health Plus, and provider payment methodologies. Demonstrated ability to develop test plans, and test cases for complex enterprise systems required.
As an Equal Opportunity / Affirmative Action Employer, CDPHP will not discriminate in its employment practices due to an applicant’s race, color, creed, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, transgender status, age, national origin, marital status, citizenship, physical and mental disability, criminal record, genetic information, predisposition or carrier status, status with respect to receiving public assistance, domestic violence victim status, a disabled, special, recently separated, active duty wartime, campaign badge, Armed Forces service medal veteran, or any other characteristics protected under applicable law.

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