08 Oct
|
UST
|
Thiruvananthapuram
08 Oct
UST
Thiruvananthapuram
Role Description
Job Title
Product Configuration QA Analyst – Healthcare Payer (TriZetto Facets)
Location - Chennai/ Bangalore
Experience - 3 to 6 Years
Job Summary
We are seeking an experienced Product Configuration QA Analyst with solid expertise in Healthcare Payer Operations and TriZetto Facets. The ideal candidate will be responsible for validating and auditing product, benefit, and group configurations to ensure accuracy, compliance, and alignment with approved business requirements. This role requires strong analytical, testing, auditing, and defect management skills with a focus on quality improvement and defect prevention.
Key Responsibilities
Configuration Quality Validation
• Review and validate product, group, account, and benefit configurations against source documentation.
• Audit eligibility rules, benefit structures, accumulators, provider networks, and plan attributes.
• Ensure configurations comply with contractual requirements and approved business rules.
• Perform quality reviews and sign-off activities before production deployment.
Testing & Validation
• Execute configuration validation and functional testing within TriZetto Facets.
• Perform end-to-end testing of product and group configurations.
• Validate downstream impacts on enrollment, claims processing, and member servicing functions.
• Support User Acceptance Testing (UAT) and post-production verification activities.
Defect Management & Root Cause Analysis
• Identify configuration defects and quality issues.
• Analyze defect trends and recurring quality gaps.
• Conduct root cause analysis (RCA) across people, process, and technology areas.
• Recommend corrective and preventive actions to improve quality outcomes.
Reporting & Quality Governance
• Participate in calibration and quality review sessions.
• Maintain audit scorecards, quality metrics, and reporting dashboards.
• Track audit accuracy, defect leakage, and first-pass quality metrics.
• Present findings and improve
📌 Associate III (Thiruvananthapuram)
🏢 UST
📍 Thiruvananthapuram