PBA Business QA Analyst, 12 months, Raleigh, NC, Client: State of North Carolina __ Hybrid

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Lokesh Kaveri

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Jun 4, 2025, 10:41:08 AM6/4/25
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Hi,

 

Please find my direct client job Requirements for your consideration.

 

Title:            PBA Business QA Analyst

Location:    Raleigh, NC (Hybrid)

Duration:   12 months

Client:         State of North Carolina

 

Job Description:

  • NC Department of Health and Human Services (DHHS) seeks a Pharmacy Benefits Administrator (PBA) Product Integration Specialist to join the Medicaid Enterprise System (MES) project.
  • The PBA Business Quality Assurance Analyst will serve as a member of the DHHS Medicaid Enterprise System(MES) Program within the PBA Business space. This position is responsible for the following activities to implement the PBA application for DHB Pharmacy Business.
  • Experience assessing the testability of the requirements and providing business guidance in developing the test case scenarios and quality assurance based on the business requirements.
  • Experience in validating the test results and evaluating the quality assurance to concur they meet the business vision.
  • Experience in performing quality assurance across different stages of the application testing such as Integration testing, User Acceptance Testing, Regression Testing and State End to End Testing.
  • Collaborates and communicates with workgroups around product deliverables with PBA project team, Product Owners and Business Leads.
  • Experiencing in performing the quality assurance on the regression testing cases and provide the business guidance and expectations to achieve the business vision.
  • Experience with the test and defect management tools, MF ALM and JIRA preferred.
  • Work with end users to ensure user acceptance testing is through and complete.
  • Experience with Agile Methodology and Scrum.
  • Experience in validating automation testing scenarios and define business expectations.
  • Collaborate with the production manager and product owner to analyze requirements and identify use cases and test case scenarios required to be executed for the module.
  • In-depth knowledge and understanding of all functions and business segments in healthcare that meet departmental goals.
  • Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for product solutions.
  • Must have experience with Medicaid/Health Care and/or Managed Care areas.
  • Good understanding of CMS MITA Framework across Medicaid Business Architecture, Information Architecture and Technical Architecture initiatives and activities.
  • Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas.
  • Provide in-person, conference calls, or virtual training on product knowledge, usage, and implementation.
  • Ensures compliance with all applicable policies and procedures.
  • Supporting the product lifecycle from conception through implementation.
  • Adhere to the Product Management guidelines.
  • Familiarity with CMS Certification process
  • This position will work integrally with PBA Project Team, State QAU team, PBA vendor and Business core to support maintaining and managing all the Product artifacts to achieve the Business goals and help to manage the launch of features and systems.

 

Skill

Required / Desired

Amount

of Experience

Expert knowledge of the Medicaid Pharmacy (PBA) processes, roles, and intended outcomes

Required

3

Years

 

 

Knowledge of the Enterprise IT Systems integration principle and associated change management best practices

Required

5

Years

Demonstrate ability to manage multiple priorities and projects, and function in a fast passed moving constantly changing, deadline-driven environment

Required

5

Years

 

Proficient in Microsoft Project, Word, Excel, PowerPoint, Access, and Adobe software

Required

5

Years

Experience in creating test cases and defining the business test scenarios and use cases

Required

5

Years

 

Experience with Defect Management and Testing tools, JIRA MF ALM are preferred.

Required

5

Years

Excellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex in

Required

5

Years

 

Proven experience and working knowledge of the agile development methodologies, environment, and tools

Highly desired

5

Years

Experience using or implementing Cloud technologies Iaas, Paas, Saas

Highly desired

5

Years

 

Experience handling HIPPA and PII data

Required

5

Years

Ability to gather data via diverse means (i.e., interviews, observation, surveys, existing written documentation) and interpret relevant information

Highly desired

5

Years

 

Managed care knowledge or experience

Required

3

Years

MITA knowledge and understanding of the CMS’s Seven Standards and conditions

Required

5

Years

 

Medicaid program knowledge or related Healthcare Information experience

Required

5

Years

 

 If Interested, please provide me below information:

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·      Visa Expiry date (MM/DD/YYYY):

·      Relocation:

·      Rate:

Professional Reference :1

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