Test Manager

🕒 June 23

🇺🇸 United States – Remote

💵 $120k - $140k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 35%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

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 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, including 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 an offshore team of test leads and QA analysts • Serve as primary QA point of contact for client stakeholders by delivering 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 requirements are testable • Ensure regulatory and compliance test cases are reviewed and signed off before production releases

🎯 Requirements

• 10+ years in software QA/testing • 3+ years in a test management role • 5+ years testing U.S. healthcare payer platforms, such as TriZetto QNXT/Facets, NICE/IntelliSource, Macess, or Salesforce Health Cloud • Strong knowledge of claims lifecycle, COB, prior authorization, enrollment/disenrollment, benefit plan configuration, and EDI X12 transactions • Strong stakeholder communication and ability to translate test findings into risk language for non-QA audiences • Experience managing an offshore team • Preferred: experience with CMS regulatory compliance testing, including ACA, ICD updates, or Medicare/Medicaid programs • Preferred: proficiency in JIRA, Zephyr, ALM, Azure DevOps, or equivalent • Experience building or overseeing functional and regression test suites • Familiarity with automation approaches in payer environments • Ability to work across multiple time zones in a hybrid or remote work environment • May be required to complete a pre-employment criminal background check

🏖️ Benefits

• May require travel dependent on company needs • Reasonable accommodations may be made to enable individuals with disabilities • Equal opportunity employer committed to workforce diversity