QA Analyst
LivefrontSalary not specified
Full Time
Mid-level (3 to 4 years)
Not SpecifiedCompensation
Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
- 3+ years of experience in development, execution and review of test plans and test results
- 3+ years of HRP experience
- Claims adjudication background
- Knowledge of MedCompass and Utilization Management Configuration
- Knowledge of Medicare Advantage and/or IFP products, claim policies and procedures
- Experience interpreting business requirements to identify claim adjudication impacts and test scope
- Strong work ethic, self-starter, highly productive in a dynamic, collaborative environment
Responsibilities
- Assist the testing team with review and interpretation of business requirements
- Develop test scenarios
- Validate test results
- Trouble-shoot issues identified during test execution
- Provide UM Configuration expertise and guidance on development of test execution strategies and test plans
- Translate intent of business requirements into test scenarios to validate UM configuration and associated claim adjudication logic
- Trouble-shoot HRP repair edits and issues identified during test execution
- Review UM test results to validate configurations in HRP QA environments before promotion to HRP production
- Facilitate internal meetings with colleagues and business teams to provide test status updates, obtain clarification of business intent and discuss issues or concerns
- Advise colleagues on development of test plans and test scenarios for various business requirements
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the pay range for the Senior Analyst position?
The typical pay range is $46,988.00 - $112,200.00, representing the base annual full-time salary. The actual offer depends on experience, education, geography, and other factors, and the position is eligible for a CVS Health bonus, commission, or short-term incentive program.
Is this a full-time remote position?
This information is not specified in the job description.
What experience is required for this role?
Candidates need 3+ years of experience in development, execution, and review of test plans and test results, 3+ years of HRP experience, claims adjudication background, knowledge of MedCompass and Utilization Management Configuration, and knowledge of Medicare Advantage and/or IFP products.
What is the work environment like at CVS Health?
The role involves working in a dynamic, collaborative environment with dedicated colleagues passionate about transforming health care, facilitating internal meetings, and interacting with testing and business teams.
What makes a strong candidate for this Senior Analyst role?
A strong candidate is a self-starter with a strong work ethic, expertise in UM Configuration, HRP experience, and the ability to translate business requirements into test scenarios while troubleshooting issues in a collaborative setting.
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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