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.