Head of QA and Test

We are looking for a Test Manager with deep expertise in U.S. healthcare payer systems to lead end-to-end testing delivery across multiple client engagements. This role owns test strategy, governance, and quality outcomes for implementations, migrations, and regulatory releases on payer platforms.
Lead test execution for claims adjudication, enrollment, benefits configuration, EDI transactions (834, 837, 835, 270/271), and provider network modules
Establish and enforce QA governance standards - defect triage cadence, test coverage metrics, sign-off protocols, and release readiness criteria
Drive compliance readiness for CMS regulatory releases, ACA mandates, and HIPAA requirements
Manage and mentor offshore team of test leads and QA analysts;
Serve as primary QA point of contact for client stakeholders - deliver status reporting, risk assessments, and go/no-go recommendations
Partner with business analysts, developers, and configuration teams to ensure testability of requirements
Ensure all regulatory and compliance test cases are reviewed and signed off before any production release
10+ years in software QA/testing
3+ years in a test management role
5+ years testing U.S. healthcare payer platforms (e.g., TriZetto QNXT/Facets, NICE/IntelliSource, Macess, Salesforce Health Cloud)
Strong domain knowledge: claims lifecycle, COB, prior auth, enrollment/disenrollment, benefit plan configuration, EDI X12 transactions
Strong stakeholder communication - ability to translate test findings into risk language for non-QA audiences
Experience managing an offshore team
Demonstrated experience with CMS regulatory compliance testing - ACA, ICD updates, or Medicare/Medicaid programs
Proficiency in test management tools (JIRA, Zephyr, ALM, Azure DevOps, or equivalent)
Experience building or overseeing functional and regression test suites; Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent

The employee is occasionally required to move around the office. Work across multiple time zones in a hybrid or remote work environment.

• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.

In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

**