QNXT QA Tester
Sattya P.RemoteMIDPosted 4h ago
TriZetto QNXTProvider Contract ConfigurationHealthcare claims processingProvider reimbursement methodologiesCPTHCPCSICD-10Revenue CodesFunctional testingRegression testingSQLJiraHP ALM
About the Role
We are looking for an experienced QNXT QA Tester with strong functional testing expertise and hands-on experience in Provider Contract Configuration within the TriZetto QNXT platform.
Key Responsibilities
• Perform functional, regression, integration, and end-to-end testing of QNXT applications
• Validate provider contracts, reimbursement rates, fee schedules, and payment methodologies
• Test claims pricing and adjudication based on provider contract configurations
• Validate Fee-for-Service, Per Diem, Case Rates, and DRG reimbursement methodologies
• Perform backend data validation using SQL
• Support UAT, defect triage, and release validation
Requirements
• Hands-on experience with TriZetto QNXT
• Strong knowledge of Provider Contract Configuration
• Healthcare claims processing and adjudication
• Provider reimbursement methodologies and fee schedules
• CPT, HCPCS, ICD-10, and Revenue Codes
• Functional and regression testing
• SQL, Jira, or HP ALM