Senior QA Test Lead (MMIS/Healthcare)

ABOUT THE ROLE: *No Automation testing is required, it is mostly Analysis and Manual Testing.

Key Responsibilities

• Conduct impact analysis for system changes, enhancements, and new module implementations within MMIS/MES.
• Lead advanced analysis across FAS Member, Claims, and Finance modules; assess business objectives, evaluate system impacts, and define high‑level solution approaches.
• Evaluate FAS workflows, identify system gaps, and recommend strategic enhancements to improve automation, accuracy, and compliance.
• Oversee system development activities, including design reviews, integration testing, defect resolution, and production validation.
• Serve as a senior technical liaison with vendors, fiscal agents, and cross‑functional teams to ensure stable, compliant FAS operations.
• Support FAS upgrades, interface enhancements, configuration changes, and system security improvements.
• Coordinate cross‑module alignment to ensure changes in Member, Claims, or Finance workflows do not create downstream system conflicts.
• Support audit and compliance activities by providing expert insights into FAS processes, data structures, and financial reconciliation workflows.
• Drive root cause analysis for complex production issues affecting FAS Member, Claims, and Finance modules, and coordinate long‑term corrective actions.
• Develop and execute comprehensive Test Strategies, including System Integration Testing (SIT), User Acceptance Testing (UAT), and End‑to‑End (E2E) testing for MMIS and MES modules.
• Perform Agile testing activities, including participating in sprint planning and backlog refinement, designing test cases with development teams, validating user stories, and executing continuous integration testing within each sprint.
• Test Commercial Off‑the‑Shelf (COTS) applications and support data conversion and integration across MES modules and COTS products.
• Create and support development of Business Test Scenarios, Test Cases, and Test Data; assist with test execution activities.
• Support ongoing system releases, enhancements, and production defect resolution.
• Lead and manage defect triage calls with multiple vendors, ensuring accurate defect tracking and timely closure.
• Communicate UAT progress, results, and metrics to stakeholders; maintain comprehensive historical testing documentation.
• Monitor schedules, track execution progress, and communicate risks and issues promptly.
• Collaborate effectively with technical teams, business users, and cross‑functional groups with minimal supervision.

Required Skills and Experience

• Healthcare Claims Expertise: In‑depth knowledge of MMIS or similar large‑scale claims processing systems.
• Testing Leadership: Ability to coordinate and direct all testing phases in a multi‑vendor environment.
• Proven Agile Testing experience, including planning and executing functional, integration, and regression testing within iterative sprint cycles.

Technical Skills:

• Proficiency in Teradata, including writing complex queries.
• Experience with Mainframe and DB2 testing preferred.
• Strong experience in data conversion, mapping rules, validation, ETL design, and programming logic.
• Experience with IBM Cognos or similar reporting tools is preferred.
• Test Management Tools: Extensive experience with Azure DevOps or comparable tools for planning, tracking, and executing test activities.
• Defect Management: Strong experience managing UAT and defect triage calls across multiple systems and vendors.
• Problem‑Solving: Strong debugging skills and ability to act as a liaison between developers and business users.
• Excellent organizational and communication skills; ability to meet deadlines with professionalism and customer focus.

Salary : $50 - $65