Business Acceptance Testing Associate (NSA / Arbitration Strategy)

Business Acceptance Testing Associate (No Surprises Act / Arbitration Strategy)

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders – internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY

The Business Acceptance Testing (BAT) Associate is responsible for executing test plans, validating system functionality, and ensuring new applications, enhancements, and operational processes meet defined business and regulatory requirements. This role supports enterprise initiatives including NSA/Surprise Bill workflows, arbitration processes, automation enhancements, AI/ML-enabled tools, and digital transformation projects. The BAT Associate identifies defects, documents results and collaborates with cross-functional teams to ensure operational readiness and quality outcomes.

DUTIES

1. Execute test cases, scripts, and scenarios based on defined business requirements and regulatory expectations.
   2. Validate system functionality and workflow impacts for initiatives related to NSA compliance, arbitration strategy, and Surprise Bill processes.
   3. Test AI/ML-enabled tools, automation workflows, and data-driven applications to ensure accuracy and operational alignment.
   4. Document test results, defects, and retesting outcomes with clarity and precision.
   5. Collaborate with operational, technical, and analytics teams to clarify requirements and testing expectations.
   6. Participate in test planning sessions and provide input on test coverage and risk areas.
   7. Support defect resolution by reproducing issues, validating fixes, and escalating concerns as needed.
   8. Assist in developing test documentation, including scripts, acceptance criteria, and workflow validations.
   9. Ensure compliance with testing standards, governance, and quality expectations.
   10. Maintain accurate records of testing activities and sign-offs for audit and compliance purposes.
   11. Support operational readiness activities for system releases and enterprise-wide initiatives.
   12. Ad hoc support to Team Leader as necessary.
   13. Collaborate, coordinate, and communicate across disciplines and departments.
   14. Ensure compliance with HIPAA regulations and requirements.
   15. Demonstrate Company's Core Competencies and values held within.
   16. Please note due to the exposure of PHI sensitive data -- this role is considered to be a High Risk Role.
   17. Responsible for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly to reduce the potential for recurrence as required by applicable state and federal laws, regulations and MPI's Compliance Programs.
   18. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:
The incumbent works under the direction of the BAT Team Leader and collaborates with cross-functional teams to execute testing activities. The role requires strong attention to detail, analytical thinking, and the ability to follow structured testing processes.

COMPENSATION

The salary range for this position is $61K to $70K.  Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity.  This position is also eligible for health insurance, 401k and bonus opportunity.

REQUIREMENTS

* Minimum high school diploma and three (3) years' related experience in testing, quality assurance, operations, or system implementation.
* Previous experience supporting initiatives related to NSA/Surprise Bill, arbitration strategy, or healthcare regulatory compliance preferred.
* Strong understanding of data science applications in operational settings
* Strong working knowledge of Jira & Confluence
* Experience in cross-functional collaboration, including working with diverse teams.
* Familiarity with data analytics, machine learning (ML), and artificial intelligence (AI) techniques.
* Experience supporting enterprise-level transformation initiatives
* Strong understanding of operational workflows, system functionality, and business requirements.
* Ability to follow structured processes and meet deadlines
* Required licensures, professional certifications, and/or Board certifications as applicable
* Communication (written, verbal and listening), leadership, team building, detail oriented, analytic, and interpersonal skills
* Ability to use hardware, software and peripherals related to job responsibilities including MS Office Suites Excel, PowerPoint, Visio and Word
* Ability to elicit trust and credibility as well as interface with all levels of the organization
* Ability to build relationships with internal and external customers
* Ability to formulate the solution and involve others in solving issues
* Ability to be comfortable with and manage in-person client interface
* Ability to commit to highest standards of quality and integrity
* Ability to represent the company in a positive and professional manner
* Ability to perform multiple tasks simultaneously and adapt to changing priorities in a positive and professional manner
* Ability to maintain ongoing collaboration with counterparts in the organization to ensure appropriate operational support, coordination of objectives and strategic planning
* Ability to travel, including overnight stays up to 10%

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs.  Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off – accrued based on years of service
  • WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations.  Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status.  If you would like more information on your EEO rights under the law, please click here.

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

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