Quality Analyst DHS Care and Claims
About Discovery
Discoverys core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those of Discovery. Our fast-paced and dynamic environment enables smart, selfdriven people to be their best. As global thought leaders, Discovery is passionate about innovating in order to not only achieve financial success, but to ignite positive and meaningful change within our society.
About Discovery Health Systems (DHS) Care And Claims Team
Working in a high performance organization that prides itself in attracting the finest talent, we challenge ourselves to find solutions that make a difference in the world. Our environment is always buzzing with energy and smart, motivated people working on finding the best way to move forward. An intermediate Quality Analyst position is available in the Care and Claims System team to work on dynamic new projects in order to improve business inefficiencies, gain competitive advantage on our products and ultimately to provide better service to our clients. Using knowledge of the organizations technology infrastructure, the Quality Analyst will help the business to address changes through technologies.
Key Purpose
The Quality Analyst role assists in reducing the risk of introducing defects into production by meticulously running regression testing and interpreting the test outcomes on specific projects before they go live. Also, it is expected of the role to use different tools and techniques in assisting with ensuring that defects introduced in production) are being resolved speedily. The Quality Analyst also monitors the production environment to identify payment delays and errors, reviews production claims to ensure that benefits process in the expected manner, investigate audit related queries and work on basic maintenance tasks in the Claims Processing domain.
Areas Of Responsibility May Include But Not Limited To
The successful candidate will be required to perform but not limited to the following key outputs in respect of the DHS Care and Claims portfolio:
- Analysis, investigation and reporting of presented problem
- Ability to identify interim and long term solutions
- Produce specification for the proposed solution
- Read and interpret specifications
- Create and execute test cases
- Develop and maintain Developer, Business Analyst and Business interaction / relationships at team and management level
- Data and trend analysis
- Impact Assessment and prioritization
- Process Mapping, evaluation and improvement
The Successful Candidate Must Demonstrate The Following Competencies
- Politically astute
- Self-motivated, self-starter
- Team player
- Continuous learning drive
- Confident
- Analytical and logical thinker, problem solving
- Strong communication skills
- Strong attention to detail
- Relevant 3-year degree or equivalent 3 year qualification
- Minimum of 3 years working experience in dealing with Claims processing systems and operational requirements.
- Strong understanding of Discovery Health Claims domain
- PL/SQL writing/running queries
- Experience in Health Care industry
- MS Office Suite
- Advanced Excel
- Working experience in an ITIL based environment (added advantage)
The Companys approved Employment Equity Plan and Targets will be considered as part of the recruitment process. As an Equal Opportunities employer, we actively encourage and welcome people with various disabilities to apply.
