Quality Assurance Specialist

6 days ago

Miami, Florida, United States Abarca Health Full time
Job Title: Quality Assurance Analyst

We are seeking a highly skilled Quality Assurance Analyst to join our team at Abarca Health. As a Quality Assurance Analyst, you will play a critical role in ensuring the quality and integrity of our pharmacy benefit management systems.

Key Responsibilities:
  • Perform testing and monitoring activities to ensure the quality of our systems and processes.
  • Develop, document, and execute test plans, and test cases and/or scripts based on functional requirements.
  • Analyze, document, and report on test results to business stakeholders, company leads or external clients.
  • Document and track issues identified during testing activities to ensure defect resolution and testing completion.
  • Identify missing requirements based on test-cases development and testing experience.
  • Guide other QA Analysts as they learn what you already know and share the knowledge.
  • Lead development of new ideas and requirements to resolve testing and system's issues, and improve current systems based on testing results by collaborating within the department and outside the department.
  • Design testing documentation templates and testing scope as required by new client implementations.
  • Conduct peer reviews of testing results and documentation to ensure the quality of the work being provided to the client on an as need basis.
  • Create the first draft of policies and procedures related to testing and quality activities and assist in the ongoing maintenance of said policies.
  • Participate on projects and new client implementations to gather understanding on new system functionalities and requirements that will require testing and/or monitoring.
  • Create and conduct training on system logics and/or processes and be the champion that the team goes to when they have questions.
  • Guide team members during issue-solving activities, new business requirements gathering, and day-to-day system operation.
  • Work cross-functionally to properly carry out changes and evaluate impact of new system requirements.
  • Participate in Prioritization and/or Request Management Meetings to coordinate testing when new functionalities are implemented.
  • Lead the way in tracking and reporting of key quality metrics to monitor testing efforts and results.
  • Gather proper and accurate documentation and data during internal and external audits related to the Company's PBM processes.
  • Perform additional tasks or special projects as assigned.
Requirements:
  • Associate's Degree or Bachelor's Degree in Business, Engineering, Healthcare, or related field.
  • 3+ years of experience or equivalent in a health plan and pharmacy benefit management setting.
  • Experience with testing methodologies, troubleshooting, root cause analysis, quality assurance practices and tools.
  • Experience in analyzing large data sets through dashboard tools (e.g., Tableau, QVW and Excel tools).
  • Excellent oral and written communication skills in Spanish and English.
What We Offer:
  • A flexible hybrid work model which will require certain on-site work days (Puerto Rico Location Only).
  • This position requires availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands.
  • This position requires availability to work in a specified time zone, accommodating the business needs of our clients and team members based in the determined time zone.

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