Product Test Engineer

Qualifications

• Demonstrate strong hands on experience in Facets enrollment testing with detailed understanding of member eligibility rules group structures and related configuration impacts on downstream processes.
• Apply advanced knowledge of Facets benefit configuration by designing tests that cover complex benefit hierarchies accumulators and cost sharing rules for varied health plan products.
• Utilize practical expertise with Facets claims modules to verify claim pricing accumulation and payment rules while ensuring alignment with payer reimbursement policies and provider contracts.
• Bring working experience in TriZetto Elements to validate integration points configuration consistency and data exchange between TriZetto tools and core Facets components.
• Exhibit solid domain understanding of payer operations such as enrollment premium handling benefits administration and claims adjudication to design realistic and business relevant test scenarios.
• Apply provider domain knowledge to test scenarios involving provider contracting reimbursement patterns and network participation attributes reflected in claims and benefit configuration.
• Use strong analytical and problem solving abilities to interpret complex defects reproduce issues reliably and recommend test coverage enhancements based on observed patterns in health care data.