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Full-Time

Quality Assurance Analyst

Posted on 9/25/2024

Abarca Health

Abarca Health

501-1,000 employees

Pharmacy Benefit Management services provider

Healthcare

Mid

Remote in USA

Category
QA & Testing
Manual Testing
Quality Assurance
Required Skills
Quality Assurance (QA)
Tableau
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.
  • This position requires availability for on-call hours, including evenings, weekends, and holidays, to promptly address emergent issues or provide necessary support as dictated by operational demands.
  • This position requires 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.

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions in Puerto Rico. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Company Stage

N/A

Total Funding

N/A

Headquarters

Aventura, Florida

Founded

2005

Simplify Jobs

Simplify's Take

What believers are saying

  • Abarca Health's ability to transition approximately two million members to the Darwin platform in just 18 months demonstrates its operational efficiency and reliability.
  • Recognition as one of the Best Places to Work in IT by Computerworld highlights Abarca Health's positive corporate culture and commitment to employee satisfaction.
  • Collaborations with major players like Blue Shield of California, Amazon Pharmacy, and Mark Cuban's Cost Plus Drug Company indicate strong market positioning and growth potential.

What critics are saying

  • The competitive landscape of the PBM market, with major players like CVS Caremark, could pose challenges to Abarca Health's market share.
  • Rapid technological advancements and the need for continuous innovation may strain resources and impact long-term sustainability.

What makes Abarca Health unique

  • Abarca Health's Darwin platform is designed to be fully integrated and highly intuitive, unlike traditional PBM systems that are cumbersome and outdated.
  • The company's focus on compliance with ever-changing regulations provides a reliable choice for clients, setting it apart from competitors who may struggle with regulatory adherence.
  • Abarca Health's innovative programs like Triple S en Casa enhance convenience for members, distinguishing it from other PBMs that may not offer such services.

Benefits

PTO

Parental leave

Work flexibility

Health insurance

Wellness stipend

401k

Tuition reimbursement

Leadership development programs

INACTIVE