Senior Software Engineer

Senior QA Analyst – US Healthcare (Benefit Configuration)

Key Skills: Benefit configuration (Facets,VBA), eligibility & member loads, accumulator processing & reconciliation, defect/incident management, cross-functional triage QA/TEST/PROD

We are seeking a Senior QA Analyst – US Healthcare with strong experience in Benefit Configuration, including reviewing, validating, and testing benefit setups to ensure accuracy and compliance with plan requirements and business rules.

• Validate and maintain client benefits, eligibility, and accumulator set-ups in healthcare platforms across QA/TEST/PROD environments.
• Validate member eligibility files, member loads; troubleshoot and resolve load failures and data exceptions.
• Perform system, integration, and regression testing; develop test scenarios/cases, execute mid-cycle change testing, track defects, and document results.
• Investigate issues across systems and integrations; perform root cause analysis, recommend preventive actions, and coordinate fixes with stakeholders.
• Collaborate with Benefit Configuration and technical teams to interpret benefit summaries/specifications and translate requirements into accurate configurations and test conditions.
• Review benefit configurations for accuracy and compliance with plan requirements.
• Conduct detailed reviews of benefit configuration settings and identify discrepancies.
• Validate benefit configurations against plan documents, business rules, and regulatory requirements.
• Ensure the correct implementation and functionality of benefit configurations through comprehensive testing and analysis.
• Collaborate with cross-functional teams to resolve configuration issues and improve quality.
• Support end-to-end QA activities, including test planning, execution, defect tracking, and validation