Overview
Skills
Job Details
UAT Test Lead HRP / Guiding Care Implementation
100 % Remote
Exp: 11+yrs
Range:
Key Responsibilities:
Lead User Acceptance Testing (UAT) activities for HRP and Guiding Care implementations within a regional health plan environment.
Design and maintain user-centric workflow documentation and comprehensive test cases across core payer processes (eligibility, benefits, claims adjudication, care/utilization management, and billing).
Coordinate defect triage and resolution efforts with onshore/offshore QA and development teams.
Facilitate UAT review sessions with business stakeholders and ensure full traceability to requirements.
Oversee the documentation and validation of test scenarios in alignment with HIPAA and NY State regulatory requirements.
Required Experience & Skills:
Strong functional expertise in healthcare payer operations and systems integration.
Hands-on experience with:
Axiom
Health Rules Payor (HRP)
Guiding Care
Familiarity with New York State Medicaid and commercial health plan guidelines.
Working knowledge of HIPAA compliance in UAT processes.
Strong stakeholder engagement, communication, and training delivery skills.
Experience with healthcare reporting, business process documentation, and managing distributed QA teams.
Prior success leading UAT efforts in regional health plans or comparable healthcare environments.