Claims (Medicaid) Testers - Information Technology
: Job Details :

Claims (Medicaid) Testers - Information TechnologyJob ID: 989017 St. Louis, MO Job Type: Contract Added - 11/19/24Innova Solutions is immediately hiring a Claims (Medicaid) Tester.Position type: ContractDuration: 12 MonthsLocation: St. Louis, MO, USAAs a Claims (Medicaid) Tester, you will:We are looking for Manual Claims Testers, preferably with MMIS (Medicaid Management Information System) experience. If MMIS expertise is not available, candidates with payer experience in claims are also suitable, particularly those with skills in EDI (Electronic Data Interchange), accumulator management, and claim financials.Key responsibilities:Design, develop and implement test plans, test cases and test strategies tailored to claim processing systems (including Medicaid claims).Prepare and maintain clear, detailed test documentation, including test plans, test cases and results.Collaborate with business analysts, developers and stakeholders to understand requirements and translate them into comprehensive testing scenarios.Perform functional, regression, integration and end-to-end testing of claims processing systems (including Medicaid claims).Validate claims adjudication logic, compliance with Medicaid policies and processing workflows.Conduct data validation and verify accurate data transformation across system components.Ensure tests align with regulatory requirements, including HIPAA and Medicaid guidelines.Verify compliance with industry standards for claims data processing and security.Provide periodic reports on testing progress, coverage, and quality metrics to project stakeholders.Participate in peer reviews of test cases and scripts.Mentor junior QA testers.Required Skills:Proven experience in claims processing, with a strong preference for MMIS experience.Alternatively, significant payer experience in claims, particularly with EDI, accumulators, and claim financials.Technical proficiency in claims processing systems and related software.Strong analytical skills and attention to detail.Effective problem-solving abilities.Excellent verbal and written communication skills.Good SQL skills.Good Excel skills.Ability to work effectively in a collaborative environment.Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.PAY RANGE AND BENEFITS:Pay Range: $76,500 - $89,500 Per Year*Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.Benefits: Innova Solutions offers benefits (based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.Website: Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment.#J-18808-Ljbffr