Manager, Systems Quality Assurance

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 make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at 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 8am to 5pm) M-F 8am-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 all requirements set forth. Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

• Develop and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements.
• Develop an understanding of unique attributes within a claim transaction where contracted State governments apply specific regulatory requirements to support their programs.
• Understand the competitive landscape, regulatory lifecycle and related government processes surrounding FFS.
• Facilitate productive discussions to identify, confirm and resolve any identified defect or testing issues and stay engaged through complete resolution.
• Perform 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.
• Perform system and requirements testing on all aspects of claims, rebates, portal etc. and document findings and work with IT to remediate any issues.
• Develop an suite of test cases to use with automation tools to increase testing efficiencies.
• Other duties as assigned Qualifications What our team expects from you?
• Bachelor’s degree, preferably in Information System Engineering, Computer Science, or a related 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 Microsoft Word and Excel, 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 Microsoft 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 Island, South Carolina, South Dakota, West Virginia, and Wyoming. #LI-Remote Location : Address Remote Location : Country US Apply tot his job

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