MES Business Quality Assurance Analyst

MES Business Quality Assurance Analyst

Raleigh NC - Local candidates only

MUST have experience with the Pharmacy Benefits Administrator (PBA), Medicaid, HIPPA and PII data.

Prior State exp. in the healthcare domain is a BIG PLUS.

Please submit your candidates with the skills matrix and the address proof.

Short Description

The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within the PBA Business space.

Complete Description

Job Description

Client seeks a Pharmacy Benefits Administrator (PBA) Product Integration Specialist to join the Medicaid Enterprise System (MES) project.

The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System(MES) Program within the PBA Business space. This position is responsible for the following activities to implement the PBA application for DHB Pharmacy Business.

• Experience assessing the testability of the requirements and providing business guidance in developing the test case scenarios and quality assurance based on the business requirements.
• Experience in validating the test results and evaluating the quality assurance to concur they meet the business vision.
• Experience in performing quality assurance across different stages of the application testing such as Integration testing, User Acceptance Testing, Regression Testing and State End to End Testing.
• Collaborates and communicates with workgroups around product deliverables with PBA project team, Product Owners and Business Leads.
• Experiencing in performing the quality assurance on the regression testing cases and provide the business guidance and expectations to achieve the business vision.
• Experience with the test and defect management tools, MF ALM and JIRA preferred.
• Work with end users to ensure user acceptancetesting is through and complete.
• Experience with Agile Methodology and Scrum.
• Experience in validating automation testing scenarios and define business expectations.
• Collaborate with the production manager and product owner to analyze requirements and identify use cases and test case scenarios required to be executed for the module.
• In-depth knowledge and understanding of all functions and business segments in healthcare that meet departmental goals.
• Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for product solutions.
• Must have experience with Medicaid/Health Care and/or Managed Care areas.
• Good understanding of CMS MITA Framework across Medicaid Business Architecture, Information Architecture and Technical Architecture initiatives and activities.
• Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas.
• Provide in-person, conference calls, or virtual training on product knowledge, usage, and implementation.
• Ensures compliance with all applicable policies and procedures.
• Supporting the product lifecycle from conception through implementation.
• Adhere to the Product Management guidelines.
• Familiarity with CMS Certification process
  
  

This position will work integrally with PBA Project Team, State QAU team, PBA vendor and Business core to support maintaining and managing all the Product artifacts to achieve the Business goals and help to manage the launch of features and systems.

Skills Matrix

Skill

Years Used

Last Used

Expert knowledge of the Medicaid Pharmacy (PBA) processes, roles, and intended outcomes

Knowledge of the Enterprise IT Systems integration principle and associated change management best practices

Demonstrate ability to manage multiple priorities and projects, and function in a fast passed moving constantly changing, deadline-driven environment

Proficient in Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software

Experience in creating test cases and defining the business test scenarios and use cases

Experience with Defect Management and Testing tools, JIRA MF ALM are preferred.

Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in

Proven experience and working knowledge of the agile development methodologies, environment, and tools

Experience using or implementing Cloud technologies Iaas, Paas, Saas

Experience handling HIPPA and PII data

Ability to gather data via diverse means (i.e., interviews, observation, surveys, existing written documentation) and interpret relevant information

Managed care knowledge or experience

MITA knowledge and understanding of the CMS’s Seven Standards and conditions

Medicaid program knowledge or related Healthcare Information experience

Notes

• LOCAL Candidates from Raleigh NC ONLY .