Implementation QA Specialist

Position Overview

What Youll Do:

• Execute quality assurance testing for client implementations including validation of system configurations output files and client-facing materials (e.g. Explanation of Benefits letters payments ID cards).

• Perform detailed reviews of outputs across both paper and electronic formats to ensure accuracy formatting and compliance with client requirements and Zelis standards.

• Validate that data is accurately processed transformed and displayed across systems and outputs.

• Partner closely with Implementation Project Managers and Specialists to understand client requirements test scenarios and expected outcomes.

• Identify document and track defects or discrepancies including issues related to data quality formatting and integration outputs.

• Utilize tools such as Jira to log track and manage QA tasks defects and testing progress.

• Support validation of file-based integrations and data exchanges (e.g. flat files XML or similar formats) by reviewing outputs and ensuring alignment with expected results.

• Follow established QA processes test plans and standard operating procedures to ensure consistency and quality across implementations.

• Communicate testing results issues and risks clearly to team members and escalate as needed.

• Prioritize assigned tasks based on implementation timelines go-live dates and business priorities.

• Identify opportunities for process improvements efficiency gains and quality enhancements.

• Ensure compliance with HIPAA security and company policies and procedures.

• Coordinate with offshore teams to support a consistent QA process and delivery model.

• Operates in a fast-paced environment with multiple concurrent implementation timelines and priorities.

What youll bring to Zelis:

• Client/Customer Focus Makes customers and their needs a primary focus of ones actions; develops and sustains productive customer relationships. Seeks to understand and educate customers; builds collaborative relationships and takes action to meet their needs and concerns.

• Communication Communicates accurately honestly and effectively both in oral and written form practices active listening. Clearly conveys information and ideas through a variety of media to individuals and groups in a manner that engages the audience and helps them understand the information.

• Team Success Actively participates as a member of a team to move the team toward the completion of goals.

• Problem Analysis & Solving Uses sound or logical judgment to spot and analyze problems; develops alternative solutions and initiates action. Proactively identifies complex problems; identifies proposes and implements solutions in a deadline driven environment.

• Strategic Organizes information and data to identify/explain trends problems and causes; combines information to identify underlying issues. Identifies the key tasks and resources needed to achieve objectives.

• Initiative Highly motivated to take prompt action to accomplish objectives; strives to achieve goals beyond what is required; proactive. Respond quickly; takes action and goes above and beyond.

• Planning and Organizing Establishes courses of action for self to ensure that work is completed efficiently. Able to prioritize determine tasks create schedules leverage resources and stays focused.

• Living the Vision and Values Keeps the companys vision and values at the forefront of decision-making and action.

Education/Experience:

• Bachelors degree in a technical or analytical field (e.g. Computer Science Information Systems Engineering) or equivalent experience.

• 13 years of experience in a quality assurance testing or validation role preferably in a technology or operations environment.

• Strong attention to detail with the ability to identify discrepancies in data formatting and outputs.

• Ability to follow structured processes and execute test plans in a deadline-driven environment.

• Experience using tools such as Jira or similar systems to manage tasks and track issues.

• Basic understanding of how data moves between systems including file-based data exchanges or integrations.

• Ability to review and validate data outputs to ensure accuracy and completeness.

• Strong communication skills with the ability to collaborate across teams and clearly document findings.

• Ability to manage multiple tasks and priorities across concurrent implementations.

What makes you stand out:

• Familiarity with data formats such as flat files XML or similar structured data.

• Exposure to data validation data quality checks or data transformation concepts.

• Experience working in a cross-functional or global team environment.

• Experience working in the healthcare industry or with healthcare data is preferred.

• Understanding of healthcare communications (e.g. EOBs ID cards payment communications) is a plus.

Work Environment

• Works across cross-functional teams time zones and external partners to support implementation delivery.

• May require coordination outside standard business hours during critical project milestones or go-live events.

Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.

Location and Workplace Flexibility

We have offices in Atlanta GA Boston MA Morristown NJ Plano TX St. Louis MO St. Petersburg FL and Hyderabad India. We foster a hybrid and remote friendly culture and all our employees work locations are based on the needs of the position and determined by the Leadership -office work and activities if applicable vary based on the work and team objectives in accordance with Company policies.

Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

We welcome applicants from all backgrounds and encourage you to apply even if you dont meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.

Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process please email .

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities duties and skills from time to time.