We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSEProvides daily guidance and support to the Provider Data Management team related to the review of quality errors, peer reviews and responding to audit inquiries for and from internal team members and other corporate departments. This position shall also be responsible for the review of accreditation, regulatory or other agency standards. Ensures that the team is familiar with NCQA and URAC accreditation standards, CMS requirements, State regulatory requirements and the tools used to monitor compliance and accreditation. NATURE AND SCOPE - This role does not manage people - This role reports to this job: SUPERVISOR, PROVIDER INFORMATION - Necessary Contacts: In order to effectively fulfill this position the incumbent must be in contact with: Network Operations, EDI, Network Development, Provider Services, Customer Service Units and other internal departments as needed; regulatory agencies, facility providers, practitioner providers, office managers, and provider licensing agencies. QUALIFICATIONS Education - High School Diploma is required. - Bachelor's degree in business or a related field is preferred. Work Experience - 2 years of data quality review or audit experience is required; preferably in Provider Data Management. Skills and Abilities - Effective verbal and written communication skills are required. - Must demonstrate the ability to work well within a team. - Must demonstrate professional and ethical business practices, adherence to company standards, and a commitment to personal and professional development. - Proven time management skills are necessary. - Must demonstrate the ability to manage multiple priorities, deliver timely and accurate work products with a customer service focus, and respond with a sense of urgency as required. - Demonstrated ability to work in a production focused environment preferred. - Proven analytical, research and problem solving skills preferred. - Proven ability to ask probing questions and obtain thorough and relevant information preferred. - Customer Service focused with effective ability to empathize preferred. - Exhibits an energetic, inquisitive, positive approach to problem solving preferred. - Demonstrated ability to make decisions with little need for direction and to function effectively as a team-oriented, self-starter working across cross-functional lines preferred. Licenses and Certifications - None Required ACCOUNTABILITIES AND ESSENTIAL FUNCTIONS - Performs audits and reports errors in accordance with departmental process and SLA’s for all team members on the Provider Data Management team to measure provider data accuracy and precision. - Identifies trends, recommends changes to processes including workflows, assesses process deficiencies, and conducts one on one coaching and training. - Produces daily educational bulletins to enhance quality as needed. - Mentors and coaches new/more junior staff to educate and inform them on accreditation and regulatory standards. - Works with business units in conducting gap analysis and/or review data/metrics to determine if a training solution is needed and if so, identifies what type of training is required. - Participates in cross-functional meetings and work group sessions to identify improvement opportunities and ways to improve quality trend. outcomes. - Assists Supervisor and the Training Coordinator with the modification of training resources/schedules in response to staffing issues and/or business needs. - Monitors provisions and make recommendations to Service Level Agreements (SLAs) to ensure quality goals are met. - Partners with the Provider Data Operations team to ensure the integrity of the end-to-end process is met within the provider data repository, PNO. - Performs other relevant tasks as assigned by management. - Accountable for complying with all laws and regulations associated with duties and responsibilities. Additional Accountabilities and Essential Functions The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions - Perform other job-related duties as assigned, within your scope of responsibilities. - Job duties are performed in a normal and clean office environment with normal noise levels. - Work is predominately done while standing or sitting. - The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

• Collaborate with teams to implement and enhance automated testing frameworks for our applications, ensuring they meet current and future business needs. • Help design, develop, and maintain automated test suites, ensuring comprehensive test coverage across APIs, data management, and UI components. • Contribute to consolidating and standardizing existing testing strategies by integrating legacy manual testing processes into a unified automated framework to streamline the quality assurance workflow. • Conduct thorough testing with a deep understanding of the product’s business use cases, ensuring the user interface meets functional and non-functional requirements. • Develop detailed test plans and execute a range of testing types, including performance, security, regression, and exploratory testing, to ensure the robustness and reliability of software products. • Work closely with agile teams to translate business requirements into well-defined test cases. • Actively participate in developing and executing automated and exploratory tests to ensure high-quality software releases.

IT Testing Engineer III The IT Testing Engineer III is a hands-on testing lead responsible for functional and ETL validation of Pharmacy Rebate and Claims platforms. This role serves as the primary liaison between Business users, Clinical stakeholders (Pharmacists), and Development teams. The ideal candidate combines deep PBM domain expertise with strong technical execution and actively performs backend data validation, SQL querying, and ETL testing. Required Experience - 8+ years of Pharmacy Claims / PBM experience - 8+ years of hands-on Software Testing experience - 5+ years of hands-on ETL and data warehouse testing experience - Bachelor’s degree required (or equivalent industry experience) Core Competencies PBM Expertise - Claims Adjudication lifecycle - Eligibility, Provider, Drug, and Formulary data flows - Drug Utilization Review (DUR) - Rebate processing and financial validation - NCPDP standards - Experience with FDB and/or MEDISPAN drug data - Medicaid/CMS knowledge (preferred) QA Skills (Hands-On) - Advanced SQL (complex joins, aggregations, reconciliation queries) - ETL testing and source-to-target mapping validation - Data completeness, transformation, and integrity validation - Batch job and interface testing (flat files, XML, JSON, vendor feeds) - Regression and data migration testing - SDLC (Agile, Waterfall, Hybrid) - Defect management (MS DevOps preferred) - Creation of Test Plans, Test Cases, Traceability, and LOE estimates Key Responsibilities - Lead and execute hands-on functional and ETL testing for PBM and Rebate systems - Write and execute complex SQL queries for backend data validation - Validate claims adjudication logic, rebate calculations, and financial reconciliation - Analyze and test source-to-target mappings and transformation rules - Develop and execute comprehensive test strategies and regression cycles - Support UAT through direct data validation and reconciliation reporting - Assist in drug benefit configuration (coverage, pricing, PA rules) - Provide PBM subject matter expertise to internal and external stakeholders - Mentor junior team members while actively contributing to testing deliverables - Independently manage deliverables, timelines, and risk escalation This role requires strong analytical skills, domain leadership, and the ability to ensure data integrity across complex PBM systems. Flexible Working At Conduent, we value individuality and flexible working arrangements. In this role, you can expect: - Remote Work: Enjoy the flexibility of working from home while optimizing your work-life balance Working for You We offer perks and rewards designed to support you: - Health & Welfare Benefits: Comprehensive plans tailored to your needs, effective from day one - Retirement Savings: Robust programs to help you secure your financial future - Employee Discounts: Access to a wide range of discounts on merchandise, services, travel, and more - Career Growth Opportunities: Paths for advancement within a global organization - Paid Training: Learn while you earn with award-winning learning platforms - Paid Time Off: Competitive PTO packages to help you recharge - Great Work Environment: Join an award-winning culture that values diversity and inclusion Join Us At Conduent, we are united by a shared mission. We understand that our success is driven by the success of our associates. When you join us, you’ll find opportunities to: - Bring your authentic self to work every day. - Grow and thrive both personally and professionally. - Make a meaningful impact with our clients, in our communities, and for the millions of people we serve. With over 50,000 associates in 24 countries, you’ll be part of a global team that’s shaping the future — for the company and for yourself. Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $90,000-$95,000 annually. Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. For US applicants: People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by submitting their request through this form that must be downloaded: click here to access or download the form. Complete the form and then email it as an attachment to FTADAAA@conduent.com. You may also click here to access Conduent's ADAAA Accommodation Policy.

• AI- Driven- design, develop, and sustain resilient and scalable automation frameworks. • Execute automated test cases to ensure the integrity of web applications. • Collaborate with cross-functional teams to discern and fulfill test automation prerequisites and devise effective solutions. • Ability to apply all testing methodologies such as exploratory, functional and non-functional testing. • Employ tools such as JMeter and Postman to automate API testing. • Remain current with the latest automation trends and best practices. • Demonstrate proficient knowledge in developing and maintaining automated test scripts-leveraging AI/ML. • Collaborate with the various teams to identify and rectify defects and issues. • Provide mentorship and guidance to team members on all aspects of Quality. • Take accountability and ownership in Release Management processes to ensure product quality remains at the highest standards. • Ability to work and collaborate with all stakeholders. • Leverage AI-powered tools to support test creation, test coverage, defect analysis, and overall quality improvement.