Job Title: Medicare Testing Analyst
Location: Remote, United States
Pay Rate: 21- 22 Per Hour
Job Type: W2 Contract
Expected Hours per Week: 40
Schedule: Monday–Friday, 8–5
Position Description:
This role is responsible for Medicare plan data validation testing across external partner platforms. The analyst will review Medicare plan benefits, rates, and provider data to ensure accuracy across quote and enrollment systems supporting Medicare product lines. This position requires developing and executing test cases, identifying defects, tracking trends, and collaborating with stakeholders to resolve issues while ensuring benefit information is accurately configured and displayed.
Key Responsibilities:
• Develop and execute manual test plans and test cases based on business and technical requirements.
• Validate Medicare plan benefits including copays, coinsurance, deductibles, and rates across multiple platforms.
• Review and test provider data to ensure accuracy within enrollment and quoting systems.
• Track, document, and report testing defects and discrepancies.
• Analyze test results and identify trends, root causes, and potential risks.
• Create and maintain test case documentation and testing worksheets.
• Collaborate with internal teams and external partners to resolve issues.
• Research claim adjudication and benefit configuration issues.
• Communicate testing results, recommendations, and issue resolutions to stakeholders.
• Support ongoing Medicare product implementations and updates.
Required Qualifications:
• Strong analytical, problem-solving, and research skills.
• Detail-oriented with the ability to ask critical “why” and “how” questions.
• Self-starter with the ability to work independently.
• Excellent verbal, written, and interpersonal communication skills.
• Experience creating and executing test plans and test cases.
• Proficiency with Microsoft Access, Word, and Excel.
• Ability to manage multiple projects and meet deadlines.
Preferred Qualifications:
• Bachelor’s Degree.
• Experience testing healthcare or health insurance systems.
• Experience researching claim adjudication issues.
• Knowledge of SQL, Access, databases, and data analysis tools.
• Knowledge of software development life cycle (SDLC).
• Experience with JIRA or Rational Team Concert (RTC).
• Knowledge of Medicare products and health insurance operations.
• Technical writing and documentation experience.
• Experience training users or presenting technical information to groups.
Top Skills:
• Medicare Benefits Testing
• Manual QA Testing
• Test Case Development
• Healthcare Insurance Systems
• Claims Adjudication Validation
• Defect Tracking & Resolution
• Provider Data Validation
• SQL & Data Analysis
• JIRA
• Trend Analysis & Reporting
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