Medicaid SME with experience as Test Lead

Amida Technology Solutions is a DC-based technology company focused on data interoperability, integrity, governance, and security. We create solutions that collect, reconcile, transform, and standardize data for business intelligence, advanced analytics, decision support, and user transactions. We specialize in taking data from inception to impact.

Our team is composed of creative, forward-looking thinkers who are passionate about using cutting-edge technology to improve lives and generate a positive impact on our country. We offer an entrepreneurial, high-growth environment that values fresh ideas, candid conversations, and authentic teamwork.

Amida Technology Solutions is seeking a Medicaid Business Subject Matter Expert (SME) with strong hands-on experience as a Testing Manager. The ideal candidate will have deep expertise in Medicaid systems and business processes, with proven experience in leading and managing large-scale testing activities. Strong documentation and communication skills are also required. This role will report to the VP, Service Delivery. The ideal candidate will be motivated by the opportunity to support public agencies, nonprofit organizations, and private companies in transforming their data into actionable insights. Preference will be given to candidates able to work a hybrid schedule in our offices in DC or Richmond, VA.

What you will do:

• Analyze and document Medicaid business processes (provider enrollment, eligibility, claims, prior authorization, encounters, and reporting).
• Interpret and apply CMS regulations, Medicaid state plan requirements, and federal guidance to ensure system compliance and operational accuracy.
• Collaborate with development, data, and project teams to design, validate, and test system components and workflows.
• Lead end-to-end testing activities, including test planning, test case development, test execution, defect management, and reporting for both manual and automated testing efforts.
• Develop and maintain detailed documentation, including:
  • Trading Partner Testing Plans
  • System Integration Plans
  • Quality Management Plans
  • Performance Testing Plans
  • Companion Guides
  • Test Summary Reports and Results
• Conduct and facilitate requirements and testing sessions with stakeholders across policy, operations, compliance, and IT teams.
• Coordinate and support User Acceptance Testing (UAT) to ensure successful validation of Medicaid system functionality across releases.
• Leverage data analysis to validate business rules, identify anomalies, and support decision-making.
• Provide regular testing reports, issue summaries, and risk assessments to project leadership.
• Perform other related duties as assigned.

Required Qualifications:

• 10+ years of IT systems analysis, with a focus on healthcare systems and Medicaid processes.
• Subject matter expertise in Medicaid business processes, systems, and regulations.
• Experience as a testing manager overseeing large-scale testing efforts.
• Strong documentation and communication skills.

Required Education:

• Bachelor's degree in business administration or science or a related field.

Required Experience:

• Over 10 years of experience in IT systems analysis, with a strong emphasis on healthcare systems and Medicaid processes

Required Skills:

• SME in Medicaid
• In-depth knowledge of Medicaid business processes, regulations, and systems.
• Proficient in business process analysis, requirements gathering, and creating detailed
• Good problem-solving, analytical, and communication skills.

Preferred:

• Experience working with government contractors is strongly preferred.

Success at Amida

Communication is the key to success at Amida. Our people are known for their can-do attitude and their ability to work effectively with both internal and client teams. We pride ourselves on having a collegial, multidisciplinary team with diverse backgrounds and experience. Our best team members pay intense attention to detail in all aspects of their work, have great initiative, are opinionated about the best ways of doing things, and align quickly to decisions. A sense of humor is an asset at Amida.

Full-time, regular employees at Amida enjoy a robust benefits package that includes a generous 401(k) match with immediate vesting, 4 weeks of PTO, paid parental leave, medical insurance, dental insurance, vision insurance, life/AD&D insurance, and short-term disability. We also offer tuition/training assistance and team-building opportunities to encourage professional growth and collaboration.

All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.