Grow your career at APWU Health Plan
APWU Health Plan is a great place to work. We offer a competitive salary, health insurance—including dental and vision—401(k), generous vacation leave, and tuition reimbursement.
Claims Adjudication System Tester/Validator
APWU Health Plan is seeking a Claims Adjudication System Tester/Validator to join our Testing Department.
This position is responsible for developing and validating test plans, conducting acceptance and regression testing for the heath claims processing system and other interactive systems.
RESPONSIBILITIES
- Primarily focusing on testing and validation for upgrades, add-ons, benefit changes and continued maintenance of the QNXT claims processing system.
- Testing and validation of all business-related applications.
- Work with Health Plan Business Analysts (and others as needed) to ensure that test plans and scenarios cover all testable requirements and provides detailed feedback to the Information Technology staff related to application set-up or possible design flaws.
- Keep detailed testing documentation including screen prints of system set-up and testing results, both positive and negative.
- Review and/or develops reports as needed to ensure thorough testing as well as to identify trends in system issues.
- Identify innovative methodologies to guarantee that tests are as fail-safe as possible and that potential fallout from fixes is tested.
- Documents details of bugs found during testing and notifies affected parties.
- Schedules status meetings as necessary to include all affected parties.
- Maintain and/or enhance system skills as needed to sustain a superior knowledge of the Plan’s workflow, policies, procedures and system(s) capabilities.
- Work hours outside of normal work day/week when necessary.
- Other duties as assigned.
QUALIFICATIONS
- 2-4 years software testing experience or 5+ years of experience in testing methodology and practical application in a healthcare environment.
- A minimum of 3 years healthcare claims processing, review or support staff experience.
- Excellent verbal and written communication skills.
- Excellent problem solving and issue identification skills.
- Ability to work well independently.
- Proficiency with Microsoft Suite.
- SQL knowledge preferred.
- Experience with the QNXT system is preferred.
- Experience and proficiency with claims editing software.
- Experience and proficiency with Claim Test Pro a plus.
- Experience with automated test tools a plus.
- A.A. degree and professional industry certification preferred.
To apply
- All stated requirements must be clearly reflected in your resume or specifically addressed in your cover letter.
- Stated salary requirements (range is acceptable) are required for consideration.
- Experience in a Union environment preferred.
- No relocation assistance available.
- Must pass criminal records check and drug screening prior to employment.
EOE M/F/D/V; Drug-Free Employer
Note to agencies
We do not accept unsolicited resumes from third-party vendors. Only resumes received from contracted agencies/vendors will be considered. Unsolicited resumes sent to APWU Health Plan will not be recognized and such agency will have no recourse from APWU Health Plan.