Test Analyst

• Perform endtoend testing within the HealthPAS Administrator (QNXT) application.
• Analyze claim adjudication results and troubleshoot claim processing issues.
• Execute regression, integration, system, and user acceptance testing activities.
• Validate and test healthcare claims processing workflows including CMS1500 Professional Claims, UB04 Institutional Claims, Inpatient Claims and Outpatient Claims
• Verify claim edits, pricing, adjudication logic, and payment calculations.
• Ensure compliance with Medicaid and healthcare processing standards.
• Test providerfacing functionality within the MyHealthPAS Portal (MHP).
• Test provider onboarding, maintenance, and credentialing workflows.
• Validate provider setup through TPA (Third Party Administrator) processes.
• Ensure providers added through TPA are successfully accessible through MHP.
• Validate inbound and outbound interface transactions
• Identify positive, negative, boundary, and endtoend test scenarios and
• Execute test cases and document results.
• Participate in defect triage and root cause analysis sessions
• Import test cases into ALM, organize test sets and test execution cycles, execute test cases directly from ALM and attach execution evidence and snapshots.
• Generate and extract test execution reports and test results documentation from ALM.
• Utilize SQL to analyze and validate data in lower environments.
• Independently identify data anomalies and testing opportunities.

We are seeking a highly motivated, self-managed QA Test Analyst / Senior QA Analyst with strong experience in HealthPAS (QNXT), Medicaid healthcare operations, claims processing, provider and member management, and test management. The ideal candidate will be a proactive self-starter who can quickly understand business processes, create comprehensive test scenarios, execute test cases, analyze data using SQL, and manage defects through ALM while working independently with minimal supervision., * 35 years of experience in delivering multiple testing services to complex projects

• Strong Manual/Functional testing experience; Healthcare, Medicaid testing preferred.
• SQL, ALM (Application Lifecycle Management), Defect Management
• Ability to write Test Plans & Test Cases; Execute test cases and track Defects., * Verbal and written communication skills are necessary.
• Personal computer and business solutions software skills.
• Ability to work independently and as part of a team.

Employees first. Customer always. Mission driven. Everyone matters. Join the vibrant team at ESI where we prioritize our employees’ well-being and champion customer satisfaction above all else. Our culture is defined by a mission-driven approach, ensuring that every member contributes to our collective success. At ESI, we value the unique perspectives each individual brings to the table. Through collaboration and innovation, we’re reshaping the digital landscape of public sector services. If you’re passionate about making a difference, eager to grow professionally, and thrive in a supportive environment, join us in our journey to create impactful solutions and drive positive change.