QA Tester (Healthcare/Payer)

eTeam Inc.Hartford, CT

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Job Description

Job Title: QA Tester (Healthcare/Payer) Work Location: Hartford CT 6156 Contract duration: 12 months Interview Mode- In-person InterviewJob Details:Must Have Skills

QA Strategy & Transformation (Broadcom ? IBM migration)
Data migration validation (reconciliation & regression)
Sampling-based validation for large datasets
Automation-led validation approaches
SQL / data validation techniques

Nice to have skills Clinical Adjudication (CAM) Medical necessity review processes Authorization workflows Clinical policy validation Payer decision frameworksDetailed Job Description" Possesses strong experience in Clinical Adjudication (CAM), supporting medical necessity reviews, authorization workflows, and clinical policy validations, with solid alignment to payer decision frameworks." Demonstrates strong understanding of utilization management and coding guidelines, enabling effective collaboration with clinical and business stakeholders." Lead QA strategy for large-scale platform transformation (Broadcom ? IBM stack), ensuring seamless transition across systems." Strong expertise in data migration validation, including before/after reconciliation and comprehensive regression coverage." Hands-on experience with sampling-based validation approaches for large enterprise datasets and systems." Proficient in automation-led validation, leveraging SQL/data checks and RPA/UI tools (e.g., UiPath) to drive efficiency." Ability to define QA operating model, team structure, and delivery roadmap (8 15 resources) aligned to program goals." Extensive exposure to enterprise-scale programs with multi-system dependencies (online, batch, and data migration ecosystems). Minimum years of experience----8-10 years Certifications Needed :No

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This job at eTeam Inc. is located in Hartford, CT, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

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