Senior QA Test Lead - Healthcare

Roles & Responsibilities

• Analyze business and functional requirements and translate them into test scenarios.
• Lead test planning, test case development, automation scripting, and test execution activities.
• Validate Medicaid Provider Affiliation, Provider Contracting, and EDI 837 Claims Adjudication workflows.
• Perform manual, functional, regression, integration, and mobile automation testing.
• Develop and maintain automation scripts using Selenium, Java, and Appium.
• Perform backend data validation using SQL Server queries.
• Analyze production defects, identify root causes, and validate fixes and rework scenarios.
• Ensure adequate test coverage across healthcare provider and claims processing workflows.
• Collaborate with developers, Business Analysts, and QA teams during Agile sprints.
• Conduct test result walkthroughs, demonstrations, and quality status reporting.
• Track defects, monitor testing progress, and ensure timely resolution.
• Prepare and maintain test plans, test scripts, execution reports, and test documentation.

Required Technical / Functional Skills

• 5+ years of experience in manual and automation testing.
• Strong experience in US Healthcare domain, particularly Medicaid and Commercial Healthcare plans.
• Hands-on experience with Medicaid QNXT/FACETS platforms.
• Strong knowledge of Provider Affiliation, Provider Demographics, Provider Contracting, and Provider Relationships.
• Experience with EDI 837 Claims Adjudication and healthcare claims processing workflows.
• Knowledge of provider contract setup, updates, termination, classifications, and specialties.
• Experience analyzing Medicaid production issues, defect analysis, and rework scenarios.
• Hands-on experience with Selenium WebDriver and Java.
• Experience with Mobile UI Automation using Appium, Espresso, or equivalent frameworks.
• Strong SQL skills and experience with SQL Server backend data validation.
• Experience in test planning, test case design, test scripting, execution, and defect management.
• Working knowledge of Agile/Scrum methodologies and sprint-based testing.
• Experience with test management and defect tracking tools such as JIRA and IBM Rational tools.

Good-to-Have Skills

• Experience with Commercial Healthcare plans and payer systems.
• Knowledge of US Healthcare provider networks, specialties, and provider classifications.
• Experience with similar healthcare claims adjudication platforms.
• Strong business communication and stakeholder management skills.
• Experience presenting test results, conducting demos, and preparing status reports.

Education & Experience

• Bachelor's degree in Computer Science, Information Technology, or a related discipline.
• Minimum 5+ years of software testing experience.
• Relevant experience in US Healthcare, Medicaid, QNXT/FACETS, and claims adjudication testing.
• Strong analytical, communication, leadership, and problem-solving skills.