Navitus is looking to add a Systems and Quality Analyst Manager to their team to support the development, implementation, and maintenance of their FFS Medicaid products, ensuring compliance with NCPDP standards, CMS and State regulations, and defined business rules.
Requirements
- Experience with multiple testing methodologies.
- Experience with elicitation and documentation of Business requirements.
- Knowledge of implementation processes of government regulations into software development activities.
- Participating in an agile development project team.
- Experience with core software applications, including Microsoft Word, Microsoft Visio, PowerPoint, and Excel preferred.
- Knowledge of Software Development Lifecycle (SDLC) methodologies.
- Business Analyst experience with 2-3 years of claims experience in preferred.
Responsibilities
- Develop and maintain deep knowledge of NCPDP pharmacy POS claims processing requirements.
- Develop an understanding of unique attributes within a claim transaction where contracted State governments apply specific regulatory requirements to support their programs.
- Perform testing design and delivery requirements.
- Engages with state agents on quality validation outcomes and/or demonstrations.
- Work with the team to identify, analyze, quantify, and mitigate risks.
- Work with the project management office to utilize and enhance tools that support the requirements, development, and testing processes.
Other
- Bachelor’s degree preferred; relevant certifications from recognized industry organizations preferred.
- Three years progressive experience in the quality assurance function
- At least 1-2 years managing and leading people and projects
- Experience in roles like a Business Analyst, Business Systems Analyst, Quality Analyst or Product Manager.
- Some travel and on-call availability may be required.
