Business Subject Matter Expert

User Acceptance Testing (UAT) Business Subject Matter Expert (SME)

Serve as a User Acceptance Testing (UAT) Business Subject Matter Expert (SME) for the Marketplace modernization project. Provide advanced UAT support for eligibility, enrollment, and Marketplace operations. Validate that system functionality aligns with business requirements, policies, and operational processes. Collaborate with business, product, technical, and vendor teams in Agile and traditional project environments. Act as a subject matter expert in:

• Test planning
• Test design
• Test execution
• Defect management
• Continuous process improvement

Key Responsibilities:

• Review and analyze: business requirements, user stories, use cases, process flows, acceptance criteria
• Maintain and update the Requirements Traceability Matrix (RTM)
• Design, develop, and maintain: UAT test cases, test scenarios, test suites, test data
• Develop and contribute to UAT test plans including testing scope, testing approach, environments, schedules, resource planning, risk assessments
• Execute manual UAT testing and document test evidence, results, validation outcomes, issues and discrepancies
• Participate in test case review sessions
• Identify automation opportunities and collaborate with automation engineers
• Perform regression testing and validate defect fixes
• Conduct exploratory testing and ad-hoc validation
• Log, track, and retest defects using JIRA
• Perform integration testing across systems, APIs, interfaces, services
• Support performance testing, security testing, accessibility testing
• Prepare and manage test data for UAT cycles
• Validate UAT readiness, including requirements, environments, test tools, data availability
• Participate in defect triage sessions
• Assist in prioritizing defects based on severity, business impact, risk
• Mentor and support business SMEs participating in UAT
• Develop UAT best practices, templates, documentation, training materials
• Prepare daily and weekly test status reports and metrics
• Participate in Agile ceremonies, including sprint planning, backlog refinement, daily stand-ups, sprint reviews, retrospectives
• Support release readiness assessments and Go/No-Go decisions
• Collaborate with automation teams and learn automation concepts where applicable
• Identify opportunities to improve UAT processes and cross-team collaboration
• Validate end-to-end business workflows from a business SME perspective
• Ensure system outputs comply with Marketplace policies, operational workflows, and regulatory requirements

Required Skills & Experience:

• Strong knowledge of User Acceptance Testing (UAT), Software Development Life Cycle (SDLC), Agile/Scrum methodologies
• Experience analyzing business and technical requirements
• Ability to translate requirements into comprehensive UAT test cases
• Experience designing and executing complex test scenarios
• Hands-on experience with Azure DevOps, JIRA, test management tools, defect tracking tools
• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• Ability to communicate effectively with both technical and non-technical stakeholders
• Strong organizational and time management skills
• Ability to work independently with minimal supervision
• Knowledge of accessibility standards (WCAG), security testing fundamentals, performance testing concepts
• Ability to identify project risks and recommend mitigation strategies
• Strong collaboration and stakeholder management skills

Marketplace Domain Expertise:

• Deep understanding of Health Insurance Exchange (HIX) operations
• Experience with State-Based Marketplaces (SBM), State-Based Marketplace using the Federal Platform (SBM-FP)
• Strong knowledge of ACA Marketplace policies, eligibility and enrollment processes, plan management, account transfers, redeterminations, consumer assistance
• Experience integrating Marketplace operations with Medicaid systems
• Understanding of MAGI eligibility rules, coordinated eligibility, data exchange processes
• Knowledge of Marketplace interactions involving insurance carriers, enrollment partners, assister programs, call center operations
• Ability to translate Marketplace policies, CMS guidance, and regulatory requirements into business rules and UAT scenarios

Preferred Qualifications:

• Experience working in a Health Insurance Exchange (HIX) environment
• Experience supporting State-Based Marketplace implementations or migrations
• Advanced understanding of Marketplace eligibility, enrollment workflows, plan management, account transfers, consumer assistance
• Experience integrating Marketplace systems with Medicaid eligibility platforms
• Knowledge of ACA regulations, including APTC, CSR, Special Enrollment Periods (SEP), federal reporting and compliance
• Experience with test automation tools such as Selenium, Playwright, Robot Framework
• Experience managing complex UAT test data
• Background in Business Analysis or broader Quality Assurance disciplines

Education:

• Bachelor's degree in Computer Science, Information Technology, Business, or related field
• 10+ years of experience as a Business Subject Matter Expert, Business Analyst, QA/UAT Lead, or related technical/functional role