Test Lead II - Healthcare Payer Testing
H
HealthEdgeHealthcare technology
Source API remote eligibility restrictions: United States, Eastern Standard TimeFull-TimeLead
Salary90,000 - 120,000 USD per year
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Job Details
- Experience
- 5+ years in software QA/testing; 2+ years in a lead or senior tester role
- Required Skills
- JiraHIPAA
Requirements
- Have 5+ years of experience in software QA/testing.
- Have 2+ years of experience in a lead or senior tester role.
- Have experience testing U.S. healthcare payer systems, including claims, enrollment, benefits, or provider networks.
- Have working knowledge of EDI X12 transactions and HIPAA compliance requirements.
- Have hands-on test case design experience using boundary analysis, equivalence partitioning, and negative testing techniques.
- Be proficient with defect tracking and test management tools such as JIRA, Zephyr, ALM, or equivalent.
- Be able to read and interpret payer business rules, EOPs, benefit plan documents, and SLAs.
Responsibilities
- Develop test cases, scenarios, and scripts for claims processing, enrollment, benefits, provider data, and EDI transaction flows.
- Lead functional, integration, regression, and UAT cycles for assigned payer modules.
- Analyze requirements and business rules to identify gaps, ambiguities, and testability issues before execution.
- Manage the defect lifecycle, including logging, triage, root cause classification, retesting, and closure tracking.
- Validate EDI transactions against payer business rules and X12 standards.
- Support compliance and regulatory test cycles, including ICD updates, CMS mandates, and state-specific Medicaid rules.
- Coordinate with developers, BAs, and configuration teams to resolve blockers and clarify expected behavior.
- Produce execution status reports with defect metrics, coverage status, and risk flags.
- Manage offshore QA analysts.
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