- SQL
- TOSCA or similar automation tool
- ADO
- Enrollment reconciliation
Key Responsibilities
- Design enrollment scenarios including retro, term, and dual-enrollment.
- Build and maintain automation.
- Lead 820 linkage and 270/271 correlation testing.
- Lead reconciliation between 834 source and downstream member records.
- Own offshore enrollment test design across LOBs and deeming logic.
- Drive automation coverage and mentor analysts.
- Conduct RCA on eligibility and reconciliation discrepancies.