Exemption Status:

“Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors.  A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.”

This position is not eligible for Sponsorship.

MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team!

Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare.

At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!

Job Description

Summary

The Testing & Validation Analyst II is responsible for ensuring the quality, accuracy, and reliability of systems, applications, and business processes through structured testing and validation. This role designs and executes test strategies, develops test cases, and analyzes results to identify defects, risks, and gaps against defined requirements and regulatory standards. Working cross-functionally with business stakeholders, developers, and project teams, the analyst validates that solutions meet both functional and non-functional requirements, supports defect resolution, and ensures readiness for deployment, while maintaining detailed documentation, tracking testing progress, and contributing to continuous improvement of testing methodologies, tools, and overall quality assurance practices.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Leverage Configuration Services best practices to validate design objectives, processes, and procedures, including development of data sets, test scenarios, expected results, and acceptance criteria.
• Design, standardize, and maintain testing scenarios, use cases, and expected outcomes to improve testing efficiency, consistency, and repeatability.
• Collaborate with business partners and cross-functional teams to validate configuration accuracy for ongoing maintenance, new client implementations, and special projects.
• Ensure high levels of customer satisfaction by confirming that business requirements—particularly benefit change requests—are clearly understood, accurately documented, thoroughly tested, and effectively communicated.
• Execute testing scenarios and analyze claims adjudication outcomes to identify discrepancies, inaccuracies, anomalies, and unintended impacts; provide recommendations and implement solutions to improve configuration accuracy and performance.
• Support and mentor team members by assisting in the development and analysis of complex test plans, design validations, and execution strategies.
• Contribute to continuous quality improvement by adhering to departmental standards and proactively identifying opportunities to enhance processes, tools, and overall testing efficiency.
• Validate adjudication configurations and support the promotion of approved changes from test environments to production in accordance with established governance and best practices.

Supervisory Responsibilities        

No supervisory responsibilities

Client Responsibilities

This is an internal and external client facing position that requires excellent customer service skills and interpersonal communication skills (listening/verbal/written).  One must be able to; manage difficult or emotional client situations; Respond promptly to client needs; Solicit client feedback to improve service; Respond to requests for service and assistance from clients; Meet commitments to clients.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience

BS/BA and 3+ years’ experience or equivalent combination of education and experience

Computer Skills

Intermediate to advanced knowledge of MS Office / Word, Excel PowerPoint, and Outlook. Experience as an advanced user of multiple business software applications and working knowledge of key technical applications such as SQL, Oracle based platforms, and Golden 32. Experience in SQL queries and writing test plans/ cases required.

Certificates, Licenses, Registrations

Pharmacy Technician License or National Certification preferred but not required.

Other Skills and Abilities

• Strong knowledge of software testing methodologies (UAT, integration, regression, end-to-end testing)
• Ability to design complex test scenarios, use cases, and acceptance criteria
• Ability to clearly translate business requirements into testable conditions
• Ability to gather and document business requirements and client specifications
• Advanced ability to analyze claims adjudication results and interpret discrepancies
• Strong stakeholder engagement skills across business, IT, and operations
• Excellent written and verbal communication, especially for documenting test results and issues
• Capability to present findings and recommendations to leadership or non-technical stakeholders

• Knowledge of healthcare/Medicaid/FFS and MCO program structures
• Understanding of data validation and environment promotion processes

• Ability to manage multiple priorities in a fast-paced environment

• Detail-oriented with a high degree of accuracy and accountability

Reasoning Ability

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Mathematical Skills

• Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

• Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. 

Language Skills

• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. 

• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Competencies To perform the job successfully, an individual should demonstrate the following competencies:

Composure

Decision Quality

Organizational Agility

Problem Solving

Customer Focus

Drive for Results

Peer Relations

Time Management

Dealing with Ambiguity

Learning on the Fly

Political Savvy

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is regularly required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds. Ability to maintain clear near visual acuity at approximately 20 inches or less (i.e., “close vision”) to accurately read fine print, view computer screens, and handle small objects. Requires adequate color vision and depth perception to support safety and precision in detail-oriented tasks.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

This position may regularly be exposed to or encounter moving mechanical parts, high, precarious places, fumes or airborne particles, toxic or caustic chemicals, outdoor weather conditions, risk of electrical shock or vibration. The noise level in the work environment is usually moderate (examples: business office with computers and printers, light traffic).

Work Location

This position works on-site at the San Diego Headquarters or other company location (or from a remote location with management approval based on business requirements). Must provide adequate support to internal clients; be available for regular interactions and coordination of work with other employees, colleagues, clients, or vendors; as well as be available to facilitate effective decisions through collaboration with stakeholders.

Working Hours

This is a full-time non-exempt position requiring one to be able to work overtime from time to time in order to get the job done.  Therefore, one must have the ability to work nights, weekends or on holidays as required.  This may be changed at any time to meet the needs of the business.  The typical working hours for this position are Monday through Friday from 8:00am to 5:00pm.

Travel

This position requires no travel; however, attendance may be required at various local conferences and meetings.

The Perks:

• Medical / Dental / Vision / Wellness Programs

• Paid Time Off / Company Paid Holidays

• Incentive Compensation

• 401K with Company match

• Life and Disability Insurance

• Tuition Reimbursement

• Employee Referral Bonus

To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers

MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers and consumers of healthcare in the U.S. and foreign markets.

Equal Opportunity Employer, Male/Female/Disabilities/Veterans

OSHA/ADA:

To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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 intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.