QA Analyst US healthcare Benefit configuration
BengaluruFull-time8–14 yrsPosted 2 months ago
Leadership QA and testing role at Xoriant in Bengaluru. Needs 8+ years and a B.Tech, B.E. or B.Sc.
About the role
The Senior Healthcare Data QA Analyst – Pharmacy Claims is responsible for leading pharmacy claims data validation, Rx file reconciliation, accumulator accuracy review, and production data quality monitoring across VBA & G-GBAS (Claim Adjudication system) during hyper care and ongoing operations.
What you'll do
- Execute Pharmacy Claims Data QA activities for Rx hypercare across VBA and G-GBAS, including production monitoring, file validation, and issue tracking
- Perform source-to-target validation between PBM files, raw tables, normalized tables, VBA, G-GBAS, reporting outputs, and downstream archive tables
- Support accumulator validation for deductible, out-of-pocket, copay, coinsurance, and benefit maximum amounts across group-specific plan designs
- Document QA evidence, reconciliation results, exceptions, defects, root cause findings, and sign-off status in accordance with audit and governance expectations
- Work closely with Rx Services, EDI, Technology, Claims Operations, Plan Build, Reporting
What you need
- SQL
- VBA
- Reconciliation
- Regression testing
Good to have
- JIRA
- Claims processing
- Root cause analysis
- Power BI
- Azure