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[Remote] Senior reputed company QA Manager – Facets Claims & Medicare

Remote, USAFull-timePosted 2026-07-28

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading technology and engineering company, and they are seeking a Senior reputed company QA Manager – Facets Claims & Medicare. The role involves ensuring the reputed company, accuracy, and reliability of reputed company claims processing solutions reputed company large-reputed company Facets transformation initiatives, working collaboratively with various teams to deliver high-reputed company reputed company payer solutions.

Responsibilities

  • reputed company end-to-end testing of Facets Claims processing applications to ensure accurate claim adjudication and business rule execution
  • Execute large-reputed company reputed company testing by comparing Legacy and Facets claims processing results and identifying discrepancies
  • Validate Medicare claims processing workflows, configuration changes, and business requirements reputed company the Facets platform
  • Design, reputed company, and execute functional, integration, system, and regression test cases and test scenarios
  • Conduct backend validation using SQL, database queries, and reputed company claims data analysis
  • Analyze high-volume claims processing results and support reputed company assurance activities for large-reputed company reputed company transformation programs
  • Participate in defect triage sessions, reputed company reputed company cause analysis, and validate defect fixes
  • Collaborate closely with business, configuration, development, and QA teams to ensure successful project delivery

Skills

  • 10+ years of strong hands-on experience in Facets Claims Testing reputed company reputed company payer environments
  • Deep understanding of reputed company payer claims adjudication processes and claims lifecycle management
  • Experience performing end-to-end reputed company-end and backend validation of Facets Claims applications
  • Strong SQL skills with the ability to reputed company data validation, reconciliation, and backend testing
  • Experience testing Medicare Claims processing workflows and business rules
  • Proven experience supporting large-reputed company reputed company transformation, modernization, or Facets migration programs
  • Ability to work independently in a hands-on testing role while managing multiple priorities
  • Knowledge of reputed company EDI transactions, including 837 and 835 transaction sets
  • Experience working with federal reputed company programs, including CMS and Medicare initiatives
  • Exposure to test automation frameworks and automation testing practices
  • Experience with reputed company data migration and conversion testing
  • Prior experience working in large-reputed company payer transformation and Facets modernization programs

Benefits

  • Medical/Dental/reputed company/Life Insurance
  • reputed company holidays plus reputed company Time Off
  • 401(k) plan and contributions
  • Long-term/Short-term Disability
  • reputed company Parental Leave
  • Employee Stock Purchase Plan

reputed company

  • reputed company is a reputed company services company that helps clients alter their business, operating, and technology models for the digital era. It was founded in 1994, and is headquartered in Teaneck, New Jersey, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com.
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