Business Subject Matter Expert (UAT Tester)

Job ID: 11131-26



Client: State of Oregon - Oregon Health Authority (OHA) / Oregon Department of Human Services (ODHS)



Location: 500 Summer St. NE E21, Salem, Oregon 97301



Work Arrangement: Remote (Telecommuting is contingent upon the contractor providing their own adequate office equipment and connectivity).

The Office of Information Services (OIS) is a shared service provider for the Oregon Health Authority (OHA) and the Oregon Department of Human Services (ODHS). OIS provides the technology systems and services that support over 18,000 OHA and ODHS agency staff.

Under Senate Bill (SB) 972, the OHA is required to transition the Oregon Health Insurance Marketplace (OHIM) from a state-based marketplace using the federal platform (SBM-FP) to a fully State-Based Marketplace (SBM) using its own technology. This new platform must be procured and administered separately from the federal platform by November 1, 2026, in time for the 2027 open enrollment plan year.

Scope of Work:
The Oregon Health Authority seeks an experienced UAT Business Subject Matter Expert (SME) Tester to support the SB 972 Transition Project. The contractor will work closely with Marketplace business partners, GetInsured, Medicaid/ONE system teams, and technical teams. The primary goal is to provide advanced User Acceptance Testing (UAT) support, ensuring that eligibility, enrollment, and Marketplace operations systems meet business needs, align with state and federal policy, and function correctly for consumers and programs.

The Business SME will serve as the lead tester responsible for validating system behavior from an end-to-end business perspective. Duties include:

Test Strategy & Preparation:

• Review and analyze project requirements, user stories, use cases, process flows, and acceptance criteria for clarity, completeness, and testability.
• Maintain and update the Requirements Traceability Matrix (RTM).
• Contribute to UAT test plans outlining scope, approach, environments, schedule, resources, and risks.
• Validate UAT readiness, including requirements, environments, tools, and data availability.
• Prepare, request, or curate test data required for UAT cycles.

Execution & Defect Management:

• Create, update, maintain, and manually execute UAT test cases, scenarios, and test suites.
• Document detailed test results, including evidence, discrepancies, and validation outcomes.
• Support regression testing, verify defect fixes, and conduct exploratory testing or targeted bug hunts.
• Log defects in Jira (provided by GetInsured) with clear reproduction steps, supporting documentation, and expected behavior; retest defects to confirm resolution.
• Participate in defect triage, contributing to assessments of priority, severity, and business impact.
• Perform or support integration testing across systems, APIs, services, and interfaces affecting Marketplace operations.
• Contribute to load, performance, security, and accessibility testing validations.

Collaboration & Leadership:

• Provide guidance, coaching, and support to other business SMEs participating in UAT.
• Develop and maintain UAT best practices, documentation, templates, and training materials.
• Provide daily/weekly test metrics, summaries, and progress updates to program leadership.
• Fully participate in Scrum ceremonies (planning, refinement, stand-ups, demos, retrospectives).
• Participate in test case review sessions and identify candidates for automation, collaborating with automation engineers.
• Contribute to release readiness assessments and go/no-go recommendations.
• Ensure system outputs align with Marketplace policy, operational workflows, and federal/state regulations.

Testing & Technical Expertise:

• Strong understanding of UAT methodologies, SDLC, and Agile/Scrum frameworks.
• Ability to analyze business/technical requirements and translate them into effective test cases and complex scenarios.
• Proficiency using test management and defect tracking tools (Azure DevOps, Jira, etc.).
• Understanding of accessibility standards (WCAG), security testing fundamentals, and performance considerations.
• Ability to identify risks, propose mitigation strategies, and manage time effectively with limited supervision.
• Excellent analytical, problem-solving, and communication skills for technical and non-technical audiences.

Healthcare Marketplace Domain Expertise:

• Deep understanding of Health Insurance Exchange (HIX) operations, including differences between SBMs and SBM-FPs.
• Strong knowledge of Patient Protection and Affordable Care Act (ACA) Marketplace policy, including eligibility, enrollment, plan management, account transfers, redeterminations, special enrollment periods, and consumer assistance.
• Advanced understanding of Marketplace interactions with state Medicaid systems, including MAGI rules, account transfers, coordinated eligibility, and data exchange requirements.
• Understanding of Marketplace impacts on carriers, assister programs, enrollment partners, and call center operations.
• Ability to convert Marketplace policy, CMS guidance, and regulatory requirements into system rules, business logic, and UAT test scenarios.

Preferred Qualifications:

• Direct experience supporting Oregon s current SBM-FP environment or working in a fully State-Based Marketplace (SBM).
• Experience integrating Marketplace operations with a state Medicaid system.
• Familiarity with test automation frameworks (Selenium, Playwright, Robot Framework, etc.).
• Background or training in business analysis or broader QA disciplines beyond UAT.
• Experience preparing or managing complex test data sets.

• Remote setting following agency policy.
• Workload may increase during release cycles and major project milestones.
• Requires coordination with cross-functional teams across OHA, OIS, carriers, assister networks, contractors, and vendor partners.
• May require occasional extended hours during critical production cycles.