UAT Analyst, Payment Integrity-3

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Skills you'll use

What you'll do

• · Perform end to end testing to ensure appropriate functionality, product integrity, accuracy, and quality of all changes and enhancements of the edit platform, Data Driven Edits PriZem (in-house system), Visium through the Payment Integrity (Claims Editing) process.
• Analyze clinical and technical requirements and define the scope of UAT testing. Setup, develop and maintain detailed test scenarios, test suites, data, checklist and/or other documents as specified, ensuring test scenarios align to requirements, adhering to claim adjudication guidelines. While using best practices for software testing methodology and techniques.
• · Analyze and troubleshoot erroneous results, determine root cause, and suggest solutions.
• Produce documents that are detailed, accurate, and in a consistent format, demonstrating strong analytical and documentation skills.
• Continuous improvement and refinement of tests-based pre-production validation, post-production results and feedback from other groups (Configuration Department, Content Department and Operations teams) as needed.
• Support multiple projects, initiatives, tasks, and maintenance releases while adhering to deadlines.
• Maintain awareness of and ensure adherence to Zelis standards regarding privacy.

Who can apply

• Ability to prioritize and manage multiple concurrent projects.
• Ability to work through others without direct supervisory responsibility within departments and across the organization.
• Understanding of medical coding and medical claims.
• Understanding of the life of a claim, including adjusted/corrected claims.
• Excellent attention to detail to assess issues and resolve in a timely manner.

About LE100 Zelis Healthcare India

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