This role involves testing and auditing health care claims and configurations to ensure accurate provider reimbursement and benefit plan requirements. Responsible for the accurate and timely testing of configuration required for provider reimbursement, adjudication rules, and benefit plan requirements in Facets. Interpret requests and develop test plans, strategies, solutions, and file creation for efficient claim adjudication. Coordinate and deliver testing results to external provider groups for project implementations. Maintain detailed documentation related to work assignments to support audit processes, including test plans, test case scenarios, and detailed test scripts. Develop and execute queries to support testing of configuration, adjudication rules, and benefit plan designs; identify, track, and communicate configuration defects. Create claim reports related to work assignments for validation within Operations Claims. Collaborate with internal partners to understand configuration requirements for validating benefit plan designs. Investigate and resolve claim review inquiries from internal customers in a timely manner. Prepare detailed analyses and reports for internal customers when necessary; participate in root cause analysis meetings. Recommend and implement process improvements; support the development, improvement, and automation of testing and QC processes. Contribute to enhancing healthcare delivery and being the difference for the customer.