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IT QEA Project Manager - Medicare

Cognizant Technology Solutions
Hartford, CT, United States
Full-time

Cognizant Technology Solutions is currently seeking a highly skilled IT QEA Project Manager - Medicare who will be responsible for Strategizing and defining the financial neutrality claims testing process for a strategic program involving Medicare business

Are you ready to be a change-maker? At Cognizant, we believe those who challenge the way they work today will lead the way tomorrow!

Ability to work independently and remotely, with willingness travel for client engagements as needed.

Responsibilities :

Project Management for the overall claims processing - Intake, Adjudication, finance reporting & validation

Participate in business reviews and develop an elaborate Test Strategy

Collaborate with Business and Development teams

Define detailed level Test Plan with the scope, Data Strategy, Iterations of testing cycles

Conduct and oversee the System, Integration and Regression testing within QA teams

Claims processing in the claims engine - Health Rules Payor (HRP) application

Bulk claim processing in HRP platform to ensure Financial Neutrality between platforms.

Identify gaps in the current testing process and recommend improvements

Required Skills / Qualifications :

Overall 14+ years of experience working on Quality Engineering & Assurance.

Agile, Healthcare Domain & Medicare experience - 7+ years

Must possess excellent knowledge on Claims Process, EDI, Health rules payor (HRP) - 7+ years

Hands on experience with creating & executing complex SQL queries.

Experience with Test management tools especially IBM products like RTC, RQM and Rally

Automation experience with Selenium, good to have RFT and Java based experience

Preferred Skills / Qualification :

Provider and Member data experience - good to have Market Prominence product knowledge

Mainframe testing skills - CICS, Batch jobs

Automation & GenAI foundational courses

Home office setup (network, phone, etc.) Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking.

It encourages lively discussions, inspires thought leadership, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.

If you are comfortable with ambiguity, excited by change, and excel through autonomy, we'd love to hear from you.

LI-FA1

5 days ago
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