Quality Control Analyst II

Change Healthcare Augusta , ME 04332

Posted 2 months ago

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Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

Overview of Position

The primary responsibility of the Quality Control Analyst II is to provide technical and administrative support for the maintenance and operation of pharmacy claims processing systems. This includes providing support such as trouble-shooting, performing quality control and quality assurance, and testing of production systems. Responsible for processing system change requests, as well as gathering and documenting new system requirements. Proactively work with managers, team leaders, data analysts, and members of the project management team to complete work and meet deadlines. Track, and report on the completion of work assignments.

What will be my duties and responsibilities in this job?

System Support

Serve as an expert user of the pharmacy claims processing systems
Troubleshoot pharmacy claims processing issues
Serve as an informational resource for the client by providing second tier call center support pertaining to system inquiries, and data files/extracts

Change Request Support

Process system Change Requests by documenting scope, functionality, and level of effort in a Service Request Initiation form
Create work orders for various teams using the Jira ticketing system
Track progress on Change Requests and completion of work
Adhere to all change control requirements
Act as a second tier for Jobtask coverage

Requirements Gathering

Assist in documenting business and functional requirements as a subject matter expert of the Pharmacy systems
Track and update requirements in the change control process and JIRA tracking system
Communicate business and functional requirements to developers, operations team and business users

Testing Support

Create use cases, test plans, test scenarios and test cases based on the defined requirements
Conduct user acceptance testing for system and configuration changes

Communication

Establish and maintain effective lines of communication with Managers, team leaders, Reporting Analysts, Account Managers, members of the Project Management Team, and the client

Other duties as assigned

Key Competencies

High proficiency in Microsoft Office products
Understanding of product and project management
Excellent organizational skills

What are the requirements needed for this position?

Minimum two years' experience in business analysis
Experience in Healthcare or Software Development industry
Experience with requirement gathering and customer support highly preferred
Experience with creating professional documentation preferred

What other skills/experience would be helpful to have?

Ability to manage multiple tasks and meet stated deadlines for those tasks
Strong interpersonal, verbal, and written communication skills
Adept at listening, confirming purpose, and tracking and managing output in a timely and accurate manner
Ability to work effectively with others in a time-constrained environment
Capacity to learn proprietary systems, tools and processes to efficiently and accurately implement contracted solutions
Strong analytical and time management skills
Ability to manage multiple projects concurrently
Work well as a member of a team with positive energy
Ability to work with minimal supervision
Drive and desire to follow through on all aspects of a project
Understanding of how to interpret customer business needs and translate them into system and operational requirements

What are the working conditions and physical requirements of this job?

Office Environment
Physical requirements include general office demands

How much should I expect to travel? No Travel Required

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

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