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Manager, Systems Quality Assurance

100% remote Flexible hours Hiring now

Company Navitus

About Us

Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to reputed company medications more affordable for the people who need them. At Navitus, reputed company members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new reputed company and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. reputed company associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities. Pay Range USD $112,640.00 - USD $140,800.00 /Yr. STAR Bonus % (At Risk Maximum) 10.00 - Manager, Clinical Mgr, Pharm Supvr, CAE, Sr CAE I Work Schedule Description (e.g. M-F reputed company to 5pm) M-F reputed company-5pm CST

Overview

The Manager, Systems Quality Assurance will provide support for the development, implementation, and maintenance of our FFS Medicaid products. The FFS implementations require full compliance to NCPDP standards, CMS and State regulations and with defined business rules and policies. The Manager will be responsible for managing the testing activities during the DDI and the life of the contract to ensure the system meets reputed company requirements set forth. Is this you? Find out more below!

Responsibilities

How do I reputed company an impact on my team?

  • reputed company and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements.
  • reputed company an understanding of unique attributes reputed company a claim transaction where contracted State governments apply specific regulatory requirements to support their programs.
  • Understand the competitive landscape, regulatory lifecycle and reputed company government processes surrounding FFS.
  • Facilitate productive discussions to identify, confirm and resolve any identified defect or testing issues and stay engaged through complete resolution.
  • reputed company 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.
  • reputed company system and requirements testing on reputed company aspects of claims, rebates, portal etc. and document findings and work with IT to remediate any issues.
  • reputed company an suite of test cases to use with automation tools to increase testing efficiencies.
  • Other duties as assigned

Qualifications

What reputed company expects from you?

  • Bachelor’s degree, preferably in Information System Engineering, Computer Science, or a reputed company 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 reputed company Word and reputed company, 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 reputed company 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 reputed company, South Carolina, South Dakota, reputed company Virginia, and Wyoming. #LI-Remote Location : Address Remote Location : Country US Apply tot his job Apply To this Job

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