Test Manager

HealthEdge • Remote,

1d • $120,000 - $140,000 • Remote

About The Position

We 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.

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

Nice To Haves

• Demonstrated experience with CMS regulatory compliance testing — ACA, ICD updates, or Medicare/Medicaid programs
• Proficiency 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

Responsibilities

• 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

Benefits

• Health insurance
• Dental insurance
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed