Test Lead - Healthcare Payer Testing

Overview We can only consider US Citizens or Green Card holders for this position at this time. Test Lead — Healthcare Payer Testing Location: Remote Employment Type: Full-Time Role Overview We are seeking a Test Lead with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This role is hands-on — you own test case design, defect management, and daily execution quality while collaborating closely with the Test Manager and cross-functional delivery teams. Key Responsibilities Develop detailed test cases, scenarios, and scripts for claims processing, enrollment, benefits, provider data, and EDI transaction flowsLead functional, integration, regression, and UAT cycles for assigned payer modulesAnalyze requirements and business rules — identify gaps, ambiguities, and testability issues before execution beginsOwn defect lifecycle management: logging, triage, root cause classification, retest, and closure trackingValidate EDI transactions (834, 837, 835, 270/271, 820) against payer business rules and X12 standardsSupport compliance and regulatory test cycles — ICD updates, CMS mandates, state-specific Medicaid rulesCoordinate with developers, BAs, and configuration teams to resolve blockers and clarify expected behaviorProduce daily/weekly execution status reports with defect metrics, coverage status, and risk flagsManages offshore QA analysts. Required Qualifications 5+ years in software QA/testing 2+ years in a lead or senior teste