Preferred Certification:
Certifications in PMP, ISTQB, or CSM
Required Experience, Knowledge, and Skills:
Experience in UAT, quality assurance, and software testing (5 Years)
Experience managing programs involving multiple stakeholders and/or vendors (5 Years)
Knowledge of Agile and Scrum for testing (5 Years)
Expertise in cloud-based SaaS solutions and API testing (5 Years)
Familiarity with data analytics, SQL, and business intelligence tools for validation (5 Years)
Understanding of the Affordable Care Act (ACA) and the individual market, including federal and state health insurance policies and programs (5 Years)
Experience with test automation tools (Selenium, Tosca, or Cypress) (5 Years)
Hands-on experience with test management tools (JIRA, ALM, etc.)
Preferred Experience, Knowledge, and Skills:
Experience with CMS integrations and requirements
Experience with test automation tools (Selenium, Tosca, or Cypress)
Experience with state health insurance Exchanges, the federal Exchange, or EDE partners
Understanding of the Affordable Care Act (ACA) and the individual market, including federal and state health insurance policies and programs
Experience working with and/or processing 834 enrollment files
Experience working in and/or with governmental agencies
Essential Duties and Responsibilities:
UAT Strategy & Planning
Develop and implement comprehensive UAT strategies aligned with business requirements and regulatory compliance
Define and enforce UAT entry and exit criteria, ensuring alignment with quality standards
Create and manage test plans, scenarios, and test cases in collaboration with business analysts, developers, and end users
Execution & Oversight
Lead and coordinate UAT execution across multiple workstreams, ensuring timely completion
Oversee test execution performed by vendors and internal teams, ensuring traceability and defect resolution
Implement test automation strategies to improve efficiency and reduce manual effort
Participate in defect triage discussions and drive resolution in coordination with developers, system architects, and business owners
Perform risk-based testing and impact analysis to ensure comprehensive test coverage
Lead data validation and integration testing across multiple systems, ensuring accuracy and consistency
Knowledge on performance and load testing coordination with technology/EDE partners. help define high-traffic test scenarios and review results
Coordinating defect resolution across internal and external teams to ensure compliance-driven fixes
Should ensure accurate eligibility determination and system-to-system reconciliation
Stakeholder Management & Reporting
Work closely with business, IT, policy, and vendor teams to facilitate testing activities and address blockers
Communicate UAT progress, risks, and issues to senior leadership through dashboards and reports
Conduct weekly status meetings, risk assessments, and post-mortem analysis for continuous improvement
Collaborate with the Release Management team to ensure a seamless go-live process
Process Improvement & Compliance
Enhance testing processes by implementing best practices from leading consulting firms (e.g., Agile frameworks, DevOps integration, test automation)
Ensure adherence to HIPAA, PHI, and PII regulations in all testing activities
Optimize test strategies based on lessons learned from previous release
Maintain UAT documentation, including test scripts, defect logs, and status reports |