Business Analyst Quality Assurance

Our client is looking for a BA/UAT test lead role for Commercial. Looking for someone to work on both BA and testing efforts - working with the business teams to define requirements and test scenarios and also partnering with QA in test planning and coordination of UAT.

Job Title: Sr UAT Test Lead / Business Analyst – Healthcare Insurance

Position Summary

We are seeking a highly motivated and experienced Lead Business Analyst / UAT Test Lead to serve as the critical bridge between business stakeholders, technology teams, and quality assurance teams within the healthcare insurance domain. This role is responsible for eliciting and documenting business requirements, facilitating stakeholder discussions, translating business needs into functional specifications, leading User Acceptance Testing (UAT), and ensuring successful delivery of business and technology solutions.

The ideal candidate possesses strong healthcare payer industry knowledge, excellent analytical and communication skills, and hands-on experience leading requirements gathering, test planning, test execution, and defect management across complex initiatives.

Key Responsibilities

• User Acceptance Testing (UAT) Leadership
• Develop and execute comprehensive UAT strategies, plans, schedules, and test scenarios.
• Collaborate with business users to define acceptance criteria and expected outcomes.
• Create and review UAT test cases and test data requirements.
• Coordinate UAT execution across multiple business teams and stakeholders.
• Facilitate defect triage meetings and work closely with development and QA teams to resolve issues.
• Track testing progress, risks, defects, and overall readiness for production deployment.
• Obtain business sign-off and ensure solution acceptance criteria are met.

Business Analysis

• Partner with business stakeholders, product owners, operations teams, and subject matter experts to understand business objectives and operational challenges.
• Facilitate requirements gathering workshops, stakeholder interviews, and process discovery sessions.
• Document business requirements, functional requirements, user stories, process flows, use cases, and business rules.
• Analyze current and future-state business processes and identify opportunities for process improvement.
• Translate business requirements into detailed functional specifications for development and testing teams.
• Maintain requirements traceability throughout the project lifecycle.
• Support impact analysis for system enhancements, regulatory changes, and production issues.

Collaboration with Business, Technology & QA Teams

• Act as the liaison between business stakeholders and technical teams.
• Clarify requirements and provide functional guidance throughout the development lifecycle.
• Support QA teams in understanding business processes and testing requirements.
• Participate in sprint planning, backlog grooming, requirements reviews, and release planning activities.
• Review technical designs and ensure alignment with business objectives.
• Support production deployments and post-implementation validation activities.

Healthcare Insurance Domain Responsibilities

• Analyze and support business processes related to:
• Claims processing
• Enrollment and eligibility
• Benefits configuration
• Provider management
• Prior authorization
• Care management
• Member services
• Regulatory compliance
• Ensure requirements align with healthcare regulations and payer business rules.
• Support implementation of healthcare industry standards and compliance requirements.

Required Qualifications

• Bachelor's degree in Business, Healthcare Administration, Information Systems, or related field.
• 7 years of Business Analysis experience.
• 7 years of UAT/Test Lead experience.
• Experience working in Healthcare Insurance/Payer organizations.
• Strong experience documenting:
• Business Requirements Documents (BRDs)
• Functional Requirements Documents (FRDs)
• User Stories
• Process Flows
• Test Plans and Test Cases
• Experience leading end-to-end UAT activities.
• Strong understanding of SDLC, Agile, and Waterfall methodologies.
• Experience with requirements management and test management tools.
• Excellent communication, facilitation, and stakeholder management skills.

Preferred Qualifications

• Experience with Commercial ASO health plans.
• Knowledge of healthcare data transactions such as:
• HIPAA
• EDI 834
• EDI 835
• EDI 837
• Experience with healthcare platforms such as:
• HealthRules

Key Skills

• Requirements Elicitation & Analysis
• User Acceptance Testing (UAT)
• Healthcare Insurance Operations
• Stakeholder Management
• Business Process Modeling
• Functional Specifications
• Defect Management
• Agile & Scrum Methodologies
• SQL/Data Validation
• Process Improvement
• Risk Assessment
• Communication & Presentation Skills

Success Measures

• High-quality, complete, and traceable business requirements.
• Successful UAT execution with minimal production defects.
• Strong stakeholder satisfaction and engagement.
• Timely delivery of business and technology initiatives.
• Effective collaboration between business, development, and QA teams.
• Improved business process efficiency and solution adoption.

• This role is ideal for a professional who can comfortably wear both the Business Analyst and Test Lead hats, serving as the primary liaison between business users and technical teams while ensuring solutions meet business expectations and quality standards.