Talent.com
Quality Analyst
Quality AnalystBrighton Health Plan Solutions, LLC • Westbury, NY, US
Quality Analyst

Quality Analyst

Brighton Health Plan Solutions, LLC • Westbury, NY, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

About The Role

We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions’ core portfolios—Claims, Provider, and Enrollment. In this role, you will contribute to both functional testing and automation activities, helping strengthen QA processes.

You will play a key part in ensuring high-quality software delivery by validating business requirements, improving test practices, supporting limited automation initiatives, and collaborating closely with technical and business teams.

Primary Responsibilities

QA Strategy & Leadership

  • Contribute to building a consistent QA approach across multiple portfolios (Claims, Provider, Enrollment), to improve test efficiency, traceability, and quality metrics.
  • Assist in establishing reusable processes, documentation standards, and quality checkpoints.
  • Promote early testing practices and support shift-left collaboration within Agile / Scrum teams.
  • Support leadership in maturing QA workflows and cross-team coordination

Functional QA & Validation

  • Develop comprehensive test cases, acceptance criteria, and test data based on business and technical requirements.
  • Perform hands-on functional, integration, and regression testing across applications and data workflows.
  • Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits logic.
  • Participate in defect triage, root-cause discussions, and timely defect escalation.
  • Test Automation Support

  • Support existing automation efforts by maintaining or executing automated tests for data loads, data validations, volume testing etc.
  • Contribute to creating or enhancing small-scale scripts for repetitive regression or smoke testing where automation adds value.
  • Leverage tools such as Selenium, Unix Shell Scripting or similar to supplement manual test coverage.
  • Participate in agile test execution where applicable, in collaboration with developers.
  • Cross-Functional Collaboration

  • Work closely with business analysts, developers, product owners, and external vendors to ensure quality is embedded in the development lifecycle.
  • Participate in team collaboration meetings, including planning, reviews, and retrospectives, as a QA voice and quality advocate.
  • Lead or participate in defect triage and resolution discussions, ensuring timely identification and escalation of issues.
  • Coordinate with external vendors or partners when validating integrated workflows or data exchanges.
  • Documentation & Reporting

  • Maintain detailed QA documentation, including test plans, automation reports, traceability matrices, and defect logs.
  • Provide QA KPIs and automation metrics to leadership to demonstrate test coverage, execution success, and release readiness.
  • Ensure consistent reporting to support release planning and stakeholder communication.
  • Essential Qualifications

  • Bachelor’s degree in Computer Science, Information Systems, Healthcare IT, or a related field.
  • 5+ years of experience in QA, with 1+ years in test automation in a healthcare payer environment.
  • Hands-on experience with automation tools such as Selenium, Postman, or similar.
  • Experience building test automation for Unix applications and backend databases (SQL Server).
  • Proficient in one or more scripting or programming languages (e.g., Java, Python, JavaScript).
  • Strong understanding of QA practices in fast-paced delivery environments.
  • Solid knowledge of EDI X12 transactions (834, 837, 835, 270 / 271), Claims, Enrollment, and Provider data workflows.
  • Proficient with SQL for backend testing and data validation.
  • Familiarity with test management tools such as JIRA or equivalent.
  • Excellent analytical, problem-solving, and communication skills.
  • Preferred Qualifications

  • Knowledge of version control systems like Git and test result reporting using BI Reporting, or similar.
  • Exposure to performance testing tools (e.g., JMeter) is a plus.
  • General Knowledge of HIPAA Confidentiality Laws
  • About

    At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion, and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all your unique abilities.

    Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools they need to enhance the member experience, improve health outcomes, and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

    Come be a part of the Brightest Ideas in Healthcare™.

    Company Mission

    Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

    Company Vision

    Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.

    DEI Purpose Statement

    At BHPS, we encourage all team members to bring your authentic selves to work with all your unique abilities.   We respect how you experience the world and welcome you to bring the fullness of your lived experience into the workplace.  We are building, nurturing, and embracing a culture focused on increasing diversity, inclusion and a sense of belonging at every level.

  • We are an Equal Opportunity Employer
  • Annual Salary Range : $

    The salary range and / or hourly rate listed is a good faith determination that may be offered to a successful applicant for this position at the time of the posting of an advertisement and may be modified in the future. When determining a team member's base salary and / or rate, several factors may be considered as applicable by law including but not limited to location, years of relevant experience, education, credentials, skills, budget and internal equity.

    JOB ALERT FRAUD :    We have become aware of scams from individuals, organizations, and internet sites claiming to represent Brighton Health Plan Solutions in recruitment activities in return for disclosing financial information.  Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All of our career opportunities are regularly published and updated brighonthps.com Careers section.  If you have already provided your personal information, please report it to your local authorities. Any fraudulent activity should be reported to :   recruiting@brightonhps.com

    Powered by JazzHR

    ad2GI9UnkD

    [job_alerts.create_a_job]

    Quality Analyst • Westbury, NY, US

    [internal_linking.similar_jobs]
    Call Quality Analyst (Stamford)

    Call Quality Analyst (Stamford)

    Insight Global • Stamford, CT, US
    [job_card.part_time]
    Call quality / Reporting analyst.Length : 6 month ongoing contract.Hybrid- Stamford, CT (first 2-3 months on site).Experience transcribing and picking up certain key indicators / information in calls....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Work From Home -Remote Text Quality Evaluator

    Work From Home -Remote Text Quality Evaluator

    Outlier • Stamford, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Work From Home -Remote Content QA Reviewer

    Work From Home -Remote Content QA Reviewer

    Outlier • Stamford, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Epic Beaker Analyst

    Epic Beaker Analyst

    Medisys Health Network, Inc. • Hicksville, NY, US
    [job_card.full_time]
    Serve as an active member of the Beaker clinical application team, dedicated to the full implementation roll-out, transitioning from Soft Lab (SCC) to Epic Beaker. Play a crucial role in the impleme...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Text Quality Evaluator

    Remote Text Quality Evaluator

    Outlier • Stamford, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the future of ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Content QA Reviewer

    Remote Content QA Reviewer

    Outlier • Greenwich, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    AI Trainer -Remote Content QA Reviewer

    AI Trainer -Remote Content QA Reviewer

    Outlier • Greenwich, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    AI Content Reviewer

    AI Content Reviewer

    Outlier • Stamford, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work fully remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the futu...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Quality Control Analyst I

    Quality Control Analyst I

    Hanover Community Bank • New Hyde Park, NY, US
    [job_card.full_time]
    Hanover Bank– When you love your work and the people you work with, careers are made!.Embracing diversity, valuing inclusion and showing respect are the foundation upon which we build our tea...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Quality Assurance Analyst

    Senior Quality Assurance Analyst

    MillerKnoll • Stamford, Connecticut, USA
    [job_card.full_time]
    Our purpose is design for the good of humankind.Its the ideal we strive toward each day in everything we do.Being a part of MillerKnoll means being a part of something larger than your work team or...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Remote Investment Analyst – AI Trainer ($50-$60 / hour)

    Data Annotation • White Plains, New York
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Business Analyst (SQL, UAT, Requirements Gathering)

    Business Analyst (SQL, UAT, Requirements Gathering)

    Protective Life Insurance Company • Garden City, NY, United States
    [job_card.full_time]
    The work we do has an impact on millions of lives, and you can be a part of it.We help protect our customers against life's uncertainties. Regardless of where you work within the company, you'll be ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Call Quality Analyst

    Call Quality Analyst

    Insight Global • Stamford, CT, United States
    [job_card.full_time]
    Call quality / Reporting analyst.Length : 6 month ongoing contract.Hybrid- Stamford, CT (first 2-3 months on site).Experience transcribing and picking up certain key indicators / information in calls....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Remote FinTech Product Analyst - AI Trainer ($50-$60 / hour)

    Data Annotation • White Plains, New York
    [filters.remote]
    [job_card.full_time] +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Quality Control Analyst III

    Quality Control Analyst III

    New York Blood Center • Rye, NY, United States
    [job_card.full_time]
    The Quality Control Analyst III is responsible for day-to-day Quality Control (QC) and analytical testing related to the conduct of Phase I, II, and III clinical trials for cell and gene therapies....[show_more]
    [last_updated.last_updated_30] • [promoted]
    IT Business Analyst

    IT Business Analyst

    NSD International, Inc • White Plains, NY, US
    [job_card.full_time]
    NY, is seeking for IT Business Analyst.Responsiblities : Define technical standards and design specifications for a specialized technical area for ERP systems. Japanese teams to summarize requirement...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    AI Trainer -Remote Text Quality Evaluator

    AI Trainer -Remote Text Quality Evaluator

    Outlier • Stamford, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the future of ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote AI Content Reviewer

    Remote AI Content Reviewer

    Outlier • Greenwich, CT, United States
    [filters.remote]
    [job_card.full_time]
    Earn up to $16 USD / hourly and work remotely and flexibly.Outlier, a platform owned and operated by Scale AI, is looking for. If you're passionate about improving models and excited by the future of ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]