Note: The job is a remote job and is open to candidates in USA. Tegria provides healthcare technology and operational services to help healthcare organizations improve care, technology, revenue, and operations. The Facets Testing Analyst validates and tests healthcare payer applications on the TriZetto Facets platform, covering claims, enrollment, provider, benefits, billing, and care management functionality. The role develops test plans, executes various testing activities, tracks defects, validates data with SQL, and supports release readiness and Agile quality assurance processes.
Responsibilities
- Analyze business requirements, functional specifications, and system design documents to create comprehensive test plans and test cases
- Perform functional, regression, integration, system, user acceptance, and end-to-end testing for Facets applications
- Validate Facets modules including: + Claims Processing + Membership and Enrollment + Provider Management + Benefits Configuration + Billing and Finance + Care Management
- Execute test cases and document test results
- Identify, document, track, and retest defects using defect management tools
- Collaborate with business stakeholders to ensure requirements are accurately interpreted and tested
- Conduct data validation and backend testing using SQL queries
- Support release management activities including test environment validation and production readiness assessments
- Participate in requirement reviews, sprint planning, and Agile ceremonies
- Develop and maintain reusable testing assets, test scripts, and traceability matrices
- Ensure compliance with healthcare regulations, payer standards, and organizational quality processes
Skills
- Bachelor's degree in Information Technology, Computer Science, Healthcare Administration, or related field, or equivalent work experience
- 3+ years of software testing or quality assurance experience
- 2+ years of experience testing applications within the TriZetto Facets platform
- Strong understanding of healthcare payer operations and claims processing workflows
- Experience creating and executing detailed test plans and test cases
- Proficiency with defect management and test management tools
- Strong analytical and problem-solving skills
- Excellent written and verbal communication skills
- Experience with Facets configuration and implementation projects
- Knowledge of Medicare, Medicaid, Commercial, and Marketplace healthcare products
- Experience with Agile and Scrum methodologies
- Familiarity with automation testing tools such as Selenium, UFT, or Tricentis Tosca
- Experience with SQL for data validation and reporting
- Knowledge of healthcare EDI transactions including:
- + 834 Enrollment
- + 837 Claims
- + 835 Remittance
- + 270/271 Eligibility
- + 276/277 Claim Status
Benefits
- A choice of multiple health and dental plans with nationally recognized networks
- Vision benefits
- A total wellness program
- An employee assistance program for you and your family
- Retirement savings plans
- Company-paid disability and life insurance
- Pre-tax savings opportunities (HSA and/or FSA)
- Professional development offerings
- Opportunities for remote work
- A generous paid-time-off program, including time away for illness or life's important events and schedule flexibility
Company Overview
Company H1B Sponsorship