Job description
Senior QA Job Description
Role Overview
- Senior QA role supporting Conduent CMdS Product.
- Responsible for end-to-end QA delivery across claims processing and adjudication systems.
- Collaborate with business SMEs, product owners, and engineering teams to ensure quality and compliance.
Key Responsibilities:
· Analyze user needs and test software solutions using agile methodology
· Create test models for release testing (plans, data and scripts) including the identification, collection and/or creation of test data
· Lead co-ordination and execution of release testing as appropriate
· Determine and meet time estimates and schedules for testing efforts
· Define Release Test Plans and criteria for user acceptance including entry/exit criteria
· Develop, update and maintain quality testing standards and procedures
· Communicate effectively with customers and software vendors as appropriate
· Assist in the planning, creation and control of the test environment(s)
· Follow standard testing methodology frameworks, testing processes as a standard
· Co-ordinate testing specific release activities
· Determine and meet time estimates and schedules for testing efforts
· Create test models for release testing (plans, data and scripts) pate in structured walk-through and peer reviews
· Participate in the coordination and execution of release testing
· Update and test release installation procedures
· Participate in Lessons Learned as appropriate
· Identify defects and questionable functionality; manage defects through to closure
· Resolve issues with unclear requirements and achieve a successful result
· Triage and solve complex problems using structured troubleshooting methodologies
· Work independently as well as work collaboratively in a team environment
Experience required:
· Minimum of 6+ years of experience as Senior QA/QA lead with strong US Healthcare / claims/EDI domain expertise
· Solid experience in writing SQL statements for data validations
· Ability to design, develop, test and debug tests cases/Scripts/plans/strategy documents
· Hands on Experience in Validate end-to-end claims lifecycle, including:
o Member eligibility and benefit verification
o Provider validation (NPI, NCPDP ID)
o Real-time POS claims adjudication
o Pricing logic (ASC, Rates, TPL, copay, Service Authorization, reference data pricing)
• Test complex scenarios involving:
o Claims Adjudication / EDI
o Prior Authorization (PA)
o Formulary and benefit plan rules
o Claims Pricing
· Document and interpret business and technical requirements for testing utilizing various development methodologies (e.g. Agile, Scrum, Iterative, Waterfall, etc.)
· Effective communication skills to articulate testing result data to multiple audiences.
· Strong web services testing experience using Postman or Soup UI.
· Working knowledge of industry standard automated testing tools, practices, and software and/or Performance testing tools.
· Strong and effective inter-personal and communication skills and the ability to interact professionally with a diverse group of clients and team members