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Sr QA Analyst, Claims

Healthfirst
Remote - NC, United States, United StatesRemotefull_timeVerifiedPosted 30 Jul 2026
💰 $165,000/yr($148,990/yr$165,000/yr)

About the role

The Sr QA Analyst Claims assists QA team in ensuring overall quality assurance, and is responsible for driving in-sprint automation with Java, Selenium. The Sr QA Analyst Claims is responsible for bottom-line ownership for ensuring testing of all assigned initiatives are completed on time with quality outcomes. QA Lead supports and works with peers on integration, downstream testing to ensure no defects impact production processes. The Sr QA Analyst Claims is the subject-matter-expert (SME) in Claims, test automation, test data creation automation and enterprise test strategy definition, and embodies Healthfirst’s Culture Drivers promoting and reinforcing behavior consistent with Healthfirst culture. The role ensures all strategic and operational projects meet the highest quality by following industry recognized QA methodologies and best practices.

Duties & Responsibilities:

  • Owns the overall roadmap of automation solutions in collaboration with development and QA team.

  • Develops reusable automation components for Pega based and other applications

  • Mentors automation engineers in team to optimize automation outcomes

  • Develops utilities to enable test data automation

  • Performs feasibility analysis and identified potential test automation opportunities

  • Builds the testing process and policies along with defining technical solutions and tools to support the testing framework.

  • Emphasizes cross functional team collaboration, analytical prioritization and internal testing audits to ensure product quality.

  • Ensures automation for in-sprint and regression tests in claims program

  • Optimizes testing techniques to ensure the highest levels of quality standards are adhered to as per agreed upon Service Level Agreements (SLA's)

  • Reviews functional specifications and assists in evaluating test automation approaches.

  • Generates quality metrics in partnership with Release Management to provide accurate information on team performance.

  • Additional duties as assigned or necessary

Minimum Qualifications:

Applicants must have a Bachelor's degree in Computer Science, Computer Information Systems, Business Administration or related field and 7 years of experience in the job offered or in a quality assurance analyst occupation.

Position requires:

  • 6 years of experience performing in-sprint and regression test automation

  • 5 years of experience performing test data automation with other health plans

  • 6 years of experience in claims end-to-end lifecycle from a QA standpoint across claims pre-processing, adjudication and post-adjudication

  • 6 years of experience with Talend, Selenium, Jenkins, CT enablement

  • 5 years experience in claims system for claims process testing

  • 6 years of experience in Agile methodologies

  • 6 years of experience in structured testing methodology

  • 6 year of experience with Scorecards, Dashboards, Statement of Work (SOWs), SLAs Operational Level Agreement's (OLAs) and Performance management metrics

  • Professional, Academy for Health Care Management (PAHM) Certification

Any applicant who is interested in this position may apply online at http://careers.healthfirst.org or mail resume to HF Management Services, LLC, Attn.: Brandon Gottlieb.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  HF Management Services, LLC complies with all applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without regard to race, color, creed, religion, sex, national origin, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or expression, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as well as any other legally protected basis. HF Management Services, LLC shall not discriminate against any disabled employee or applicant in regard to any position for which the employee or applicant is otherwise qualified.

If you have a disability under the Americans with Disability Act or a similar law and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to

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Healthfirst

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