Quality Assurance Analyst

Summary

Join Abarca's Quality Assurance & Oversight team as a Quality Assurance Analyst and become the go-to expert for ensuring high-quality services. You will be responsible for testing and monitoring activities across various projects and implementations, guaranteeing the quality of systems and processes. This role involves understanding business requirements, developing test plans, analyzing results, and collaborating with other teams. You will also contribute to improving testing processes, creating documentation, and providing training. The position requires experience in a health plan and pharmacy benefit management setting, along with strong analytical and communication skills. Abarca offers a flexible hybrid work model, but on-call availability is required.

Requirements

• Associate’s Degree or Bachelor’s Degree in Business, Engineering, Healthcare, or related field. (In lieu of a degree, equivalent relevant work experience may be considered.)
• 3+ years of experience or equivalent in a health plan and pharmacy benefit management setting
• Experience with testing methodologies, troubleshooting, root cause analysis, quality assurance practices and tools
• Experience in analyzing large data sets through dashboard tools (e.g., Tableau, QVW and Excel tools)
• Excellent oral and written communication skills in Spanish and English
• Availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands
• Availability to work in a specified time zone, accommodating the business needs of our clients and team members based in the determined time zone

Responsibilities

• Optimize and perform testing and monitoring activities to ensure the quality of the systems and processes supporting the company’s operation
• Be an SME on all lines of business (Medicare, Medicaid, commercial, etc.) and stay current with regulatory guidelines, ensuring testing complies with rules and regulations
• Develop, document, and execute test plans, and test cases and/or scripts based on functional requirements
• Analyze, document, and report on test results to business stakeholders, company leads or external clients
• Document and track issues identified during testing activities to ensure defect resolution and testing completion
• Identify missing requirements based on test-cases development and testing experience
• Guide other QA Analysts as they learn what you already know and share the knowledge
• Lead development of new ideas and requirements to resolve testing and system’s issues, and improve current systems based on testing results by collaborating within the department and outside the department
• Design testing documentation templates and testing scope as required by new client implementations
• Conduct peer reviews of testing results and documentation to ensure the quality of the work being provided to the client on an as need basis
• Create the first draft of policies and procedures related to testing and quality activities and assist in the ongoing maintenance of said policies
• Participate on projects and new client implementations to gather understanding on new system functionalities and requirements that will require testing and/or monitoring
• Create and conduct training on system logics and/or processes and be the champion that the team goes to when they have questions
• Guide team members during issue-solving activities, new business requirements gathering, and day-to-day system operation
• Work cross-functionally to properly carry out changes and evaluate impact of new system requirements
• Participate in Prioritization and/or Request Management Meetings to coordinate testing when new functionalities are implemented
• Lead the way in tracking and reporting of key quality metrics to monitor testing efforts and results
• Gather proper and accurate documentation and data during internal and external audits related to the Company’s PBM processes
• Perform additional tasks or special projects as assigned

Preferred Qualifications

• Experience with software development life cycle and quality assurance
• Experience with pharmacy benefit management operational standards and processes, Medicare Part D, and CMS regulations

Benefits

Flexible hybrid work model