Job Description :
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EXT: 2532

Hands on experience in Facets/Facets testing on most of the following areas in different lines fo business such as Medicaid, Medicare and commercial:
Membership eligibility, Provider contracts, Product/plan, Billing/finance, Claims, Claims workflow, TCS/letters, FET

Sample areas:
Subscriber/Product/Benefits/Group, class plan
XC, Claims scrubbers, Claims adjudication, Accumulators
COB, Remittances, EOB, EOP
FET-MEET, ID cards, Facesheets
Billing/Invoicing and payments, delinquency
Writing business level test cases on the above areas
Experience working on Facets SI (interfaces), batch and online extensions
Medicare files (TRR, TC) testing experience
Understanding of keyword files and processing
Individual and group exchanges
Database query skill (SQL) and ETL (Extract, Transform Load) Testing
Experience in building / maintaining test plan and test cases
Excellent communication, analytical and problem solving skills
Experience working in Onshore/Offshore model