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Sr. NASCO/Claims QA Analyst -151811

Strategic Staffing Solutions (S3) Detroit, MI
  • Expired: 27 days ago. Applications are no longer accepted.

Sr. NASCO/Claims QA Analyst

Detroit, MI | JO# 151811

Contract Engagement

Scope of Position:

  • Will review and analyze business, functional and technical specification documents to develop test scenarios and test cases for a medium to large complexity project.
  • Will also be responsible for test case execution, identifying and reporting defects/issues.
  • This position requires working with Test Lead to support testing objectives and report daily execution status.
  • This position also requires supporting Test Lead in coordinating among IT, business and project teams.

Top Three Skills and/or Experience:

  1. Minimum of 3 to 5 years of experience working in similar roles
  2. Minimum 3 to 5 years NASCO
  3. Strong claims testing background

Required Skills and/or Experience:

  • NASCO system experience
  • Strong claims testing background
  • 3270 Mainframe experience
  • Strong Knowledge of NASCO Applications – HIQK, HEHK, HRBK, HRRK, HURK
  • Good knowledge of medical claims benefits processing
  • Develop and execute Test Plans, Test Cases and Test Scripts based on the business and system requirements.
  • Perform Integration, Regression, and User Acceptance Testing (UAT) using manual test methodologies and automated test tools.
  • Good knowledge of Medical, Dental, Vision & Hearing benefits
  • Strong experience in BFM/BFAST
  • Working knowledge of SharePoint
  • Experience with membership/eligibility
  • Working knowledge of Microsoft Office software, specifically Excel, Access and Word.
  • Testing experience(knowledge) will be needed:
  • Ability to create test plans and test headers according to the requirements (as they will be changing from group to group)
  • Ability to test NGI/NSI (new group implementations / new segment implementations)
  • Ability to understand SERs (small enhancement requests) and create test plans according to the requirements and add negative scenarios for the headers created and perform testing
  • Ability to work on AUTISM claims which needs more attention as we will need to create authorizations
  • Ability to work on Online visits and Online behavioral health claims
  • Ability to do the required documentation work (Fill out forms) needed to send request for ITS claims
  • Ability to understand different Cost share methods and create test headers and do the testing accordingly (very important)
  • Ability to understand the BDDs for new groups and change the test plans and test headers accordingly
  • Ability to know what diagnosis codes, procedure codes and modifiers are to be used while testing the claims

Education and/or Certifications:

  • Bachelor's degree in a related field
  • ISTQB Foundation Level or equivalent certification

Strategic Staffing Solutions (S3)

What Is Great About S3! Strategic Staffing Solutions (S3) prides itself on being an international IT Staffing and Solutions Company with 28 years’ experience recruiting and managing exceptional IT and Business consultants for customers in the Financial, Energy, Public Sector and Retail Distribution industries. A privately held, financially strong, woman-owned company, S3 is a full service IT firm, with 24 major market locations in the U.S! At S3 you are eligible for a full benefits package that may include: Medical Insurance Dental Insurance Vision Insurance


Detroit, MI