Testing & Validation Analyst II

• The Testing & Validation Analyst II is responsible for ensuring the quality, accuracy, and reliability of systems, applications, and business processes through structured testing and validation.
• This role designs and executes test strategies, develops test cases, and analyzes results to identify defects, risks, and gaps against defined requirements and regulatory standards.
• Working cross-functionally with business stakeholders, developers, and project teams, the analyst validates that solutions meet both functional and non-functional requirements.
• Supports defect resolution, ensures readiness for deployment, maintains detailed documentation, tracks testing progress, and contributes to continuous improvement of testing methodologies, tools, and overall quality assurance practices.
• Leverage Configuration Services best practices to validate design objectives, processes, and procedures, including development of data sets, test scenarios, expected results, and acceptance criteria.
• Design, standardize, and maintain testing scenarios, use cases, and expected outcomes to improve testing efficiency, consistency, and repeatability.
• Collaborate with business partners and cross-functional teams to validate configuration accuracy for ongoing maintenance, new client implementations, and special projects.
• Ensure high levels of customer satisfaction by confirming that business requirements—particularly benefit change requests—are clearly understood, accurately documented, thoroughly tested, and effectively communicated.
• Execute testing scenarios and analyze claims adjudication outcomes to identify discrepancies, inaccuracies, anomalies, and unintended impacts; provide recommendations and implement solutions to improve configuration accuracy and performance.
• Support and mentor team members by assisting in the development and analysis of complex test plans, design validations, and execution strategies.
• Contribute to continuous quality improvement by adhering to departmental standards and proactively identifying opportunities to enhance processes, tools, and overall testing efficiency.
• Validate adjudication configurations and support the promotion of approved changes from test environments to production in accordance with established governance and best practices.

Requirements

• BS/BA and 3+ years’ experience or equivalent combination of education and experience
• Intermediate to advanced knowledge of MS Office / Word, Excel Power Point, and Outlook
• Experience as an advanced user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32.
• Experience in SQL queries and writing test plans/ cases required.
• Pharmacy Technician License or National Certification preferred but not required.
• Strong knowledge of software testing methodologies (UAT, integration, regression, end-to-end testing)
• Ability to design complex test scenarios, use cases, and acceptance criteria
• Ability to clearly translate business requirements into testable conditions
• Ability to gather and document business requirements and client specifications
• Advanced ability to analyze claims adjudication results and interpret discrepancies
• Strong stakeholder engagement skills across business, IT, and operations
• Excellent written and verbal communication, especially for documenting test results and issues
• Capability to present findings and recommendations to leadership or non-technical stakeholders
• Knowledge of healthcare/Medicaid/FFS and MCO program structures
• Understanding of data validation and environment promotion processes
• Ability to manage multiple priorities in a fast-paced environment
• Detail-oriented with a high degree of accuracy and accountability.
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