Test Manager

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $120k - $140k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Define and own test strategy, test plans, and entry/exit criteria across all assigned payer client engagements • Lead test execution for claims adjudication, enrollment, benefits configuration, EDI transactions (834, 837, 835, 270/271), and provider network modules • Establish and enforce QA governance standards — defect triage cadence, test coverage metrics, sign-off protocols, and release readiness criteria • Drive compliance readiness for CMS regulatory releases, ACA mandates, and HIPAA requirements • Manage 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 recommendations • Identify production defect leakage patterns and implement upstream test improvements to close coverage gaps • Partner with business analysts, developers, and configuration teams to ensure testability of requirements • Ensure all regulatory and compliance test cases are reviewed and signed off before any production release

🎯 Requirements

• 10+ years in software QA/testing • 3+ years in a test management role • 5+ 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 transactions • Strong stakeholder communication — ability to translate test findings into risk language for non-QA audiences • Experience managing an offshore team

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements