
Quality Assurance Analyst (Medicaid) - Contract- Columbia, SC
SUNSHINE ENTERPRISE USA LLC • Columbia, South Carolina, United States
**Role & Seniority: ** Quality Assurance Analyst (Medicaid), system testing specialist; 6+ years experience (contract)
**Location & Work Type: ** Columbia, SC; contract (12 months); virtual/online interview; SC resident or relocate to SC prior to start at own expense
**Stack/Tools: **
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Automation: Sahi Pro and/or Selenium (automation frameworks)
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QA frameworks/process: SPICE, TPI, TMMI, CMMI OPF/OPD, PPQA (one or more)
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Test design/tools: PICT (or equivalent orthogonal/orthogonal-based tools), test design techniques (Equivalence Class Partitioning, Pairwise Analysis)
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Defect mgmt/collab: JIRA, Confluence (preferred)
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Standards (preferred): HIPAA EDI, X12
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Top 3 Responsibilities:
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Create and execute test plans, test cases/scripts, and UAT by translating Medicaid/policy requirements into test scenarios
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Perform and coordinate Smoke, SIT, End-to-End, Regression, Negative testing, including UI testing and regression automation
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Manage defect tracking, review vendor/unit testing outcomes, and collaborate to resolve issues while reporting status/risks
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Must-have Skills:
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Strong English communication (written/verbal)
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5+ yrs translating business/policy docs into test cases & scenarios
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5+ yrs QA/QC experience
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3+ yrs with Sahi Pro and/or Selenium
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Knowledge of at least one **QA/process framework
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Full Description
Quality Assurance Analyst (Medicaid)
Location: Columbia, SC
Interview Process: 1 round, Virtual/Online
Duration: 12 Months
Employment Type: Contract
Experience Required: 06+ Years
Candidate Location: Candidate MUST be a SC resident or willing to relocate to SC prior to starting the role at their own expense.
Project Scope
- We are seeking an experienced Quality Assurance Analyst to support enterprise Medicaid enrollment, eligibility, claims processing, and document management systems. This role will serve as a system testing specialist within the Systems Applications Integration and Development team and will play a critical role in ensuring application quality, reliability, compliance, and operational efficiency.
- The ideal candidate will have strong experience in healthcare or Medicaid systems, software testing methodologies, automation frameworks, defect management, and quality assurance best practices within enterprise IT environments.
Key Responsibilities
- · Develop detailed test plans, test cases, test scripts, and QA/User Acceptance Testing (UAT) processes
- · Translate business requirements and policy documentation into functional test scenarios and test cases
- · Design and execute Smoke Testing, System Integration Testing (SIT), End-to-End Testing, Regression Testing, and Negative Testing activities
- · Test software applications to ensure reliability, stability, functionality, usability, and performance
- · Support UI testing applications and regression automation testing processes
- · Participate in quality assessments to identify defects, security vulnerabilities, and optimization opportunities
- · Maintain and manage defect tracking databases and coordinate defect resolution efforts
- · Collaborate with software development teams, architects, technical resources, and stakeholders to resolve issues and improve system quality
- · Review vendor unit testing, integrated testing plans, and testing results for compliance and quality standards
- · Provide guidance on preparing and reviewing test plans, test scripts, scenarios, and testing reports
- · Ensure compliance with software testing governance policies, standards, and industry best practices
- · Monitor testing progress, identify risks and impediments, and communicate status updates to leadership and project teams
- · Participate in walkthroughs, inspections, and governance reviews
- · Support Medicaid enrollment, eligibility, claims processing, workflows, and related healthcare systems testing
- · Document testing outcomes, feedback, issues, and recommendations for management and stakeholders
- · Collaborate with cross-functional teams to ensure timely delivery of testing milestones and project objectives
Required Skills & Experience
- · Strong written and verbal communication skills with excellent English proficiency
- · 5+ years of experience translating business requirements or policy documentation into test cases and scenarios
- · 5+ years of experience in Quality Assurance and Quality Control
- · 3+ years of experience with Sahi Pro and/or Selenium Automation Framework
- · Working knowledge of one or more quality/process frameworks such as Spice, TPI, TMMI, CMMI OPF, OPD, or PPQA
- · Hands-on experience with formal test design techniques such as Equivalence Class Partitioning and Pairwise Analysis
- · Experience using test design tools such as PICT or equivalent orthogonal-based testing tools
- · Experience creating, executing, and maintaining manual and automated test cases
Preferred Skills
- · 5+ years of experience supporting large enterprise or e-business systems
- · 3+ years of Medicaid or healthcare systems experience
- · Strong understanding of healthcare operations and Medicaid business processes
- · Experience with X12 standards and HIPAA EDI transactions
- · Experience with Atlassian tools including JIRA and Confluence
- · Experience working within SDLC Waterfall and Agile delivery methodologies
- · Familiarity with claims processing, eligibility systems, and healthcare workflowsTechnical
Education
- Bachelor’s Degree in a technical, business, or healthcare-related field OR equivalent professional experience on a year-for-year basis