Job
Description
As a leading financial services and healthcare technology company based on revenue, SSC is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the worlds largest companies to small and mid-market firms, rely on SSC for expertise, scale, and technology. Key Responsibilities Pharmacy Benefits Domain Knowledge Leverage knowledge of US Pharmacy standards, regulations, and practices (e.g., HIPAA, ICD-10, CPT codes, etc.) to ensure the system complies with industry-specific requirements and test as per the US Pharmacy Standards. Claims Testing Testing pharmacy claims processes (adjudication, pricing, benefit configuration) while ensuring compliance with HIPAA, EDI (837/835/276/277), and ANSI X12 standards. It includes end-to-end claims lifecycle testing and validating ICD, CPT, and HCPCS codes. Verifying integrations with clearinghouses and payers. Test Planning and Execution Develop detailed test plans, scenarios, and scripts to ensure comprehensive test coverage of business processes. Execute test cases manually or with automation tools. End-to-End Testing Plan, design, and execute end-to-end test cases to verify the functionality and workflow of the system. Ensure complete traceability and coverage from requirement gathering to deployment. Defect Management Identify, document, and track defects using defect management tools. Collaborate with development teams to resolve issues and ensure timely delivery of high-quality software. Collaboration with Cross-Functional Teams Work closely with business analysts, developers, product managers, and other stakeholders to ensure that requirements are met and quality is maintained throughout the software development lifecycle. Automation Able to work with test automation frameworks (e.g., Selenium, Gherkin, etc.) to create and execute automation test scripts. Required Qualifications Experience Minimum of 5 years of experience in Quality Engineering or Software Testing, particularly in the US Pharmacy Benefits domain, with a focus on Pharmacy Claims management. Pharmacy Healthcare Domain Expertise Strong knowledge of US Pharmacy Healthcare industry standards, including pharmacy claims lifecycle, coding systems (ICD-10, CPT, HCPCS), and compliance (HIPAA, etc.). End-to-End Testing Experience Proficiency in performing end-to-end testing, including functional, integration, and regression testing, from requirements through deployment. Testing Tools Experience with test management tools and defect tracking systems. Automation Experience Familiarity with test automation frameworks (e.g., Selenium, Gherkin, etc.) is a plus. Problem-Solving Skills Ability to analyze complex business requirements and provide clear, actionable insights during the testing process. Attention to Detail High attention to detail, ensuring accuracy and completeness of testing activities. Communication Skills Strong written and verbal communication skills to effectively document test results, communicate defects, and collaborate with stakeholders. Agile Methodology Experience working in Agile environments and participating in sprint planning, daily stand-ups, and sprint retrospectives.
