IT Clinical Quality Analyst
UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health.
Primary Responsibilities:
- Analyze and dissect system requirements and technical specifications to create and execute test cases for large business initiatives
- Ability to write test cases and execute testing within a web service environment
- Product test and driving defect resolution
- Assist business users in defining User Acceptance Testing, test cases and plans
- Establish and maintain test cases and test data
- Create and maintain test cases in Quality Center and/or Test Director
- Actively participate in walk-through, inspection, review and user group meetings for quality assurance
- Work with business users, system analysts, designers and programmers to create and analyze various required project documents
- Participate in production implementation verification and being accountable for validating system quality
- Plan, document, evaluate and track testing results to ensure system applications are free from defects
- Communicate and interact with appropriate areas on problems, changes and enhancements that may impact data, workflow and /or functionality within Information Technology software
- Comply with standards of the software development life cycle and follow strategies, plans and procedures within Information Technology software
- Comply with standards and strategies of the software development life cycle
Requirements:
- Certified Procedural Coder or equivalent coding certification (Professional or Facility)
- 1+ year claim data analysis
- 1+ year experience in CMS/correct coding guidelines
- Healthcare industry knowledge
- 1+ year software testing experience
- HS Diploma/GED and 5+ years coding experience OR Bachelor's Degree
Asset:
- Understanding of practice management systems and/or adjudication systems
- Good understanding of LCD (Local Coverage Determinations) policies
- Experience in Healthcare in the Fraud domain
- Familiar with QA methodology
- Familiar with Agile/Scrum processes
- Knowledgeable of testing tools
What makes your technology career greater with UnitedHealth Group? You'll have the most opportunities to grow and develop. We invest in rich technology resources and talented people to help glean and use intelligence in ways that drive quality and affordability of healthcare for millions of people worldwide. It's your chance to be a transformational force in the industry and within UnitedHealth Group. If you believe there is always a better way, take the next step in exploring your potential with UnitedHealth Group.
UnitedHealth Group IT provides a diverse and comprehensive array of application design and infrastructure services designed to advance improved health and well-being for our customers, and to benefit UnitedHealth Group employees across the enterprise. Comprised of the Application Services Group, Enterprise Technology Services Group and the IT Business Services Group, UnitedHealth Group IT has over 7,000 internal and external resources across the globe, and offices in California, Connecticut, Minnesota, New Jersey, South Carolina, Wisconsin and India.
Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Job Category: IT/Software Development
Reference Code: 379094
Position Type: Full Time, Employee