Transcend IT Solutions
Transcend IT Solutions

Enterprise Quality Lead - Healthcare Payer & Program Delivery

Seattle, WA, US • Posted 1 day ago • Updated 1 day ago
Contract Independent
Contract Corp To Corp
Contract W2
12 Months
No Travel Required
On-site
Depends on Experience
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Job Details

Skills

  • QA/Testing

Summary

Job Title: Enterprise Quality Lead – Healthcare Payer & Program Delivery
Location: Hybrid (Seattle, WA / Vancouver, WA / Portland, OR)
Employment Type: Contract
Experience Level: 10+ Years
 
Role Overview:
We are seeking a consultative Enterprise Quality Lead with deep Healthcare Payer domain expertise to drive quality assurance excellence across a complex portfolio of 30+ interrelated enterprise projects.
This role bridges strategic QA leadership, quality governance, and program management expertise. You will align IT and business tracks, establish program-wide test strategies, and oversee end-to-end quality validation across claims, provider networks, member enrollment, and healthcare technology platforms. As a trusted advisor to executive leadership, you will ensure that software releases meet rigorous technical standards, business objectives, and regulatory compliance.
 
Key Responsibilities:
 
1. Quality Assurance Leadership & Governance
  • Business-IT Alignment: Translate technical risks into operational business impacts, ensuring test scenarios accurately reflect real-world healthcare payer workflows.
  • Unified Test Strategy: Define, implement, and govern a single, coherent program test strategy covering Unit, Functional, System Integration (SIT), Performance, and End-to-End (E2E) testing.
  • UAT & Business Sign-off: Partner closely with business leads and UAT Test Leads to establish joint entry/exit criteria and sign-off processes for production readiness.
  • Governance & Metrics: Establish transparent quality metrics, executive reporting dashboards, and defect triage lifecycles. Provide quality assessments and recommendations for Go/No-Go milestone decisions.
2. Healthcare Payer Domain Leadership
  • Provide consultative quality oversight for core payer systems, including Claims Processing, Revenue Cycle Management (RCM), EDI transactions (837/835, 834, 270/271), Member/Enrollment portals, and Provider Data Management.
  • Ensure all testing frameworks and data handling practices strictly comply with HIPAA, SOX, and healthcare regulatory standards.
3. Program & Project Leadership
  • Work alongside PMO, BAs, Product Owners, and engineering leads to integrate QA timelines into master program schedules (using MS Project / Jira).
  • Manage test environment readiness, test data strategy, and multi-team resource coordination across 30+ parallel projects.
  • Escalate critical quality risks through established program governance channels when testing coverage or approaches pose risks to business continuity.
Required Qualifications & Experience:
  • Experience: 10+ years leading QA/Testing programs for large-scale, multi-disciplinary IT programs, combining QA leadership with program management responsibilities.
  • Payer Domain Expertise: Deep enterprise experience in the Healthcare Payer domain (e.g., Claims Engine processing, Member Enrollment, Billing, EDI, and Health Plan Operations).
  • Delivery Methodologies: Proven experience managing quality governance across Agile, Waterfall, and Hybrid SDLC environments.
  • Quality Frameworks: Broad expertise evaluating/refining test strategies across SIT, UAT, Performance, Automation, and CI/CD pipelines.
  • Tools & Technologies: Proficiency in Jira, Test Management/Defect Tracking tools, Version Control (Git), and Project Management scheduling tools.
Preferred Qualifications:
  • Prior consulting background or advisory experience guiding enterprise digital transformation programs.
  • PMP, PMI-ACP, Certified Software Quality Analyst (CSQA), or Certified ScrumMaster (CSM) certifications.
  • Familiarity with healthcare interoperability standards (FHIR, HL7) and automated testing frameworks.
Work Location Requirement:
Hybrid Work Model: Must be located in or willing to work hybrid out of Seattle, WA, Vancouver, WA, or Portland, OR.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91140092
  • Position Id: 38-49161-1793890189
  • Posted 1 day ago

Company Info

About Transcend IT Solutions

Our business model has scaled to successful heights on account of the long-lasting and loyal relationship with our clients, partners and candidates who have been pillar foundation of why Transcend IT Solutions is a market leader.

Our team has an outstanding track record of success in project staffing, project development and management, and consulting services. With firsthand experience in these areas, we have a sound understanding of our client’s needs.

Transcend IT Solutions provides assistance with staffing for all Information Technology roles. Providing the best-fit person of the highest caliber is our recruiting team’s goal. Our success is based on longevity of client-candidate relationships. Whether it is an individual team member or an entire team, Transcend IT Solutions will assist you with your staffing needs.

Our consulting services cover all aspects of Information Technology. Our expert consultants provide expertise in the areas of project management, requirement gathering and management, analysis and design, construction, quality control and assurance, and system deployment. As well as being individual contributors, our consultants also provide mentoring, process improvement expertise, and reviews and audits of existing projects.

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