OverviewWe are looking for a Test Manager with deep expertise in U.S. healthcare payer systems to lead end-to-end testing delivery across multiple client engagements. This role owns test strategy, governance, and quality outcomes for implementations, migrations, and regulatory releases on payer platforms. Key ResponsibilitiesDefine and own test strategy, test plans, and entry/exit criteria across all assigned payer client engagementsLead test execution for claims adjudication, enrollment, benefits configuration, EDI transactions (834, 837, 835, 270/271), and provider network modulesEstablish and enforce QA governance standards — defect triage cadence, test coverage metrics, sign-off protocols, and release readiness criteriaDrive compliance readiness for CMS regulatory releases, ACA mandates, and HIPAA requirementsManage and mentor offshore team of test leads and QA analysts;Serve as primary QA point of contact for client stakeholders — deliver status reporting, risk assessments, and go/no-go recommendationsIdentify production defect leakage patterns and implement upstream test improvements to close coverage gapsPartner with business analysts, developers, and configuration teams to ensure testability of requirementsEnsure all regulatory and compliance test cases are reviewed and signed off before any production release Required Qualifications10+ years in software QA/testing3+ years in a test management role5+ years testing U.S. healthcare payer platforms (e.g., TriZetto QNXT/Facets, NICE/IntelliSource, Macess, Salesforce Health Cloud)Strong domain knowledge: claims lifecycle, COB, prior auth, enrollment/disenrollment, benefit plan configuration, EDI X12 transactionsStrong stakeholder communication — ability to translate test findings into risk language for non-QA audiencesExperience managing an offshore team Preferred ExperienceDemonstrated experience with CMS regulatory compliance testing — ACA, ICD updates, or Medicare/Medicaid programsProficiency in test management tools (JIRA, Zephyr, ALM, Azure DevOps, or equivalent)Experience building or overseeing functional and regression test suites; familiarity with automation approaches in payer environments Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this
12 days ago