Testing Analyst

CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. CDPHP invests in employees who share these values and invites you to be a part of that experience.

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  Associates degree required. Three (2) years relevant experience may be substituted for degree.
• Minimum of three (3) years healthcare insurance programs, processes, configuration and/or claims processing, IT, or customer service experience with specialization in benefits, enrollment, pricing, billing, or provider configuration.
• Minimum two (2) years’ experience working with relational databases and writing or modifying intermediate level SQL queries.
• Experience with Trizetto applications, such as Facets, is preferred.
• Three (3) years of overall QA and software testing experience with an understanding of functional, integration, system, and regression testing preferred.
• Two (2) years’ experience with a test management tool – such as QA Symphony or other tool, is preferred.
• Experience working with ClaimsTest Pro, is preferred.
• Understanding of all types of health insurance enrollment, billing, and document management processing including, but not limited to, individual, group, governmental, and broker.
• Knowledge of healthcare and HMO processes, rules, regulations, enrollment/eligibility guidelines and reporting requirements for HMO, PPO, ASO, Medicare, Medicaid, Family Health Plus, and Child Health Plus, and provider payment methodologies.
• Strong analytical skills required.
• Ability to track, trend, and report useful data.
• Ability to understand Facets data model and Configuration tables related to benefits, pricing, ID cards, billing, claims, and provider data.
• Demonstrated ability to identify weaknesses in workflow and develop and implement process improvements to continually ensure that corporate goals are satisfied.
• Demonstrated ability to develop test plans, and test cases.
• Demonstrated experience in data access and relational databases using SQL, and working knowledge of Microsoft Access, Word, and Excel is preferred.
• Thorough knowledge of software development lifecycle(s) and software testing methodologies.
• Effective verbal, written communication & presentation skills are required. Must be able to communicate with technical and non-technical audiences.
• Excellent organizational, planning, time management, problem solving and decision making skills including experience with risk assessment and root cause analysis required.
• Demonstrated experience in Microsoft Excel required.
• Experience developing complex test scripts a plus.
• Ability to think creatively and “outside of the box.”
• Ability to work independently as well as in a team setting is required.
• Able to work in fast paced environment.

CDPHP and its family of companies include subsidiaries Acuitas Health LLC, Strategic Solutions Management Consultants (SSMC), Practice Support Services (PSS), and ConnectRX Services, LLC.