Product Test Consultant

About the role

Serve as a senior product test consultant specializing in Facets claims and benefit configuration for healthcare payer and provider solutions in a hybrid work model. Apply deep hands on experience to validate complex configurations optimize claims processing accuracy and ensure system reliability and compliance.

What you'll do

• Drive comprehensive test strategy planning for Facets modules focused on claims adjudication and benefit configuration to ensure end to end coverage across core…
• Design detailed test scenarios and data sets for Facets claims processing including complex benefit rules and provider contract variations to validate accurate outcomes…
• Execute functional and integration testing on Facets claims workflows to verify proper configuration of benefits accumulators pricing logic and provider networks while…
• Analyze Facets configuration tables and rule sets to identify potential gaps or conflicts in benefit designs and claims edits and propose corrective changes that improve…
• Collaborate with business analysts configuration teams and operations stakeholders to translate payer and provider business requirements into testable Facets scenarios…

What you need

• 9–12 yrs of experience
• Test cases
• Claims processing
• Root cause analysis
• Financial reporting
• Any graduate