Job Description :
Establish "Business Process Assurance" framework to compliment testing with clinical business perspective covering holistic validation of regulations, process controls, exceptions & fraud scenarios, certifies application readiness to go live, and assures Business Outcomes. Below are core activities of Business Process Assurance testing Define Clinical Business Process flows based on analytical inputs Validation of User Role based, Regulatory compliance, process controls, Exceptions and Fraud scenarios testing Business Process optimization to reduce cycle time through Volume 2 Value based analytics, Load & Risk Balancing Failure point analysis Production defect data analysis for High impact Humana Clinical processes and cover them in scenarios Covering valid scenarios based on user Feedback (survey, CSR's / Nurse practitioners/ Medical directors) User behaviors / usability based scenarios coverage Developing reusable and Sub domain specific Clinical Business scenarios