Compest Solutions Inc.
United States
Pega Application Tester (Healthcare Claims)
- Hipaa
- UI
AI Summary
Seeks a Pega Tester to ensure quality, functionality, and compliance of Pega applications in healthcare claims processing. Focuses on functional, integration, regression, and system testing, including claims adjudication logic and HIPAA/EDI standards. Requires experience in test planning, case design, defect tracking, and collaboration with cross-functional teams.
Key Highlights
Testing Pega applications for healthcare claims processing
Experience with Facets integration
HIPAA/EDI compliance validation (837/835 transactions)
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Key Responsibilities
Design and execute test plans, test cases, and test scripts for Pega applications
Perform functional, regression, integration, and system testing of Pega case types, flows, decision rules, and UI components
Validate claims adjudication logic, exception handling, and auto-adjudication workflows against business requirements and HIPAA/EDI standards (837/835 transactions)
Collaborate with developers, business analysts, and stakeholders
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Technical Skills Required
Job Description
A Pega Tester with experience in testing Pega applications to ensure quality, functionality, and compliance with business requirements is needed.
Key responsibilities include:
- Designing and executing test plans, test cases, and test scripts for Pega applications supporting healthcare claims processing integrated with Facets.
- Performing functional, regression, integration, and system testing of Pega case types, flows, decision rules, and UI components.
- Validating claims adjudication logic, exception handling, and auto-adjudication workflows against business requirements and HIPAA/EDI standards (837/835 transactions).
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