Hi Associate,
| Currently, I am recruiting candidates for one of my requirement as mentioned below. If you have a matching profile, please send me the updated resume along with contact details at the earliest.
|
| Job Title | QA Lead (Health Domain) |
| Project Location | Columbia SC |
| Duration | 12 months /Contract
|
Skills Required and Job Description:
SCOPE OF THE PROJECT: - Affordable Care Act (ACA) is the nation’s health reform law to expand health coverage, increase benefits and modify the health care infrastructure.
- ACA contains numerous provisions with phased implementations.
- ICD-10 represents a major improvement to medical coding practices (diagnosis and procedure codes) that impact both providers and payers requiring significant changes to related health care policies, business processes and information systems.
- ICD-10-CM will completely replace ICD-9-CM for dates of service on or after October 1, 2014; and ICD-10-PCS will replace ICD-9-CM for dates of discharge on or after October 1, 2014.
REQUIRED SKILLS (RANK IN ORDER OF IMPORTANCE): - Identify impacted agency functional areas and external partners with whom testing are required.
- Determine what interaction with MCCS, if any, is required for ACA related testing and coordinate this interaction with MCCS, CU, DHHS, and any impacted agency functional areas, as well as external partners.
- Work with DHHS ACA/ICD-10 Program Director to develop and distribute a general public notification of testing timelines to any impacted agency functional areas and external partners.
- Create a schedule of timelines to include dates when each ACA related change will be ready for testing and dates when each impacted area (internal and external) is scheduled for testing.
- Create a plan to assess overall readiness for ACA related testing. Include the identification of correct artifacts that impacted agency functional areas and external partners must have prior to testing.
- In conjunction with the established test procedures used by CU QA and DHHS Medicaid, determine and document test procedures to be followed by the impacted agency functional areas and external partners. Communicate these test procedures to the impacted agency functional areas and external partners.
- Work with CU QA and DHHS ACAICD-10 Program Director to develop a process for documenting defects identified when testing with impacted agency functional areas and external partners and the resolution of such defects.
- Develop a re-test strategy with impacted agency functional areas and external partners following the resolution of defects in the Medicaid MMIS System, following the resolution of defects in the found within the impacted agency functional areas and external partners.
- Develop a detailed procedure to keep track of the status of testing with each identified impacted agency functional area and external partners.
- Coordinate the execution of testing with CU QA, CU Development (as needed), DHHS, impacted agency functional areas and external partners, performing near real-time analysis of observed performance during and immediately after test execution.
- For defects or issues identified during testing that require more than immediate time to resolve, document these defects or issues and continue with testing as is appropriate.
- Coordinate the verification of test results with CU QA, DHHS, and impacted agency functional areas and external partners.
- Work with CU QA to develop a test plan for testing, utilizing any materials already used by CU QA and DHHS User Acceptance (UA) testing. Positive and negative testing scenarios should be used.
- Work with CU Medicaid Information Technology Services (MITS) in Seneca, SC and DHHS ACA/ICD-10 Project Team in Columbia, SC. Job will require some travel between the two sites.
- This position may require working more than 40 hours per week on an as-needed basis, including weekends. Hours worked over 40 hours per week must be approved in advance.
PREFERRED SKILLS (RANK IN ORDER OF IMPORTANCE): - At least 8 years of experience working in a Payer environment (preferably Medicaid)
- Must have strong previous experience in the HIPAA transaction set
- At least 2 years of experience conducting and operating acceptance tests for a claims processing environment or major health plan (preferably Medicaid)
- Experience testing (preferably in a Mainframe environment) large complex (preferably Medicaid) Payer systems
- Strong analytical and problem solving skills for developing and execution of business test scenarios and use cases.
- Strong regulation knowledge of both HIPAA 5010 transaction set and ICD-10 initiatives
- Deep knowledge of healthcare operations (preferably Medicaid), Payer business processes and EDI infrastructures
- Excellent leadership, organizational, and communication skills (verbal and writing).
- Proven consulting experience with ability to work at both the senior manager level and staff level.
- Self-starter, problem solver and willing to travel.
- Previous leadership assignments and project management experience.
- Previous experience in conducting impact assessment is a plus.
- Proficient in the Microsoft Tool Suite
|
Thanks & Regards,
Satya
(Technical Resource Specialist)
 |
.......consulting redefined
Ramy Infotech, Inc |
| Renaissance Business Center,
1851 McCarthy Blvd, Suite 107, Milpitas, CA 95035 |
| Phone : 408-317-9256 x 322 |
| Fax : 408-273-6834 |
| Email : satya@ramyinfotech.com |
| URL : www.ramyinfotech.com |
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