Job Title: Functional Test Lead
Location: Seattle, WA, USA
Domain: Healthcare Payer / Facets
Job Summary
We are seeking an experienced Functional Test Lead with strong expertise in Healthcare Payer systems and the Facets healthcare platform. The ideal candidate will lead functional testing discovery, current-state assessments, transition planning, and testing operating model evaluations.
The candidate will collaborate with business stakeholders, application teams, architecture, automation, performance testing, and Test Data Management (TDM) teams to assess existing testing capabilities and define a future-state Quality Engineering model. The role requires strong leadership, healthcare payer domain knowledge, workforce planning, stakeholder management, and managed services transition experience.
Key Responsibilities
Lead functional discovery workshops with business, product, application, and testing stakeholders.
Assess business processes, application landscapes, testing scope, dependencies, and existing quality practices.
Evaluate test coverage, requirements traceability, release readiness, and defect management processes.
Identify gaps in functional testing, User Acceptance Testing (UAT), governance, and testing operating models.
Define the future-state functional testing organization, roles, staffing requirements, and knowledge capabilities.
Support knowledge transfer (KT), transition planning, shadowing, reverse-shadowing, and ownership transfer.
Collaborate with Architecture, Automation, Performance Testing, and Test Data Management teams to develop the target-state testing model.
Develop transition roadmaps, Key Performance Indicators (KPIs), Service Level Agreements (SLAs), governance frameworks, and transformation recommendations.
Present assessment findings, risks, improvement opportunities, and recommendations to client leadership.
Support continuous improvement initiatives and modern Quality Engineering practices.
Required Qualifications and Experience
10+ years of experience in Functional Testing or Quality Engineering.
5+ years of experience leading testing programs or managed services engagements.
5+ years of hands-on or relevant professional experience with the Facets healthcare system.
Experience in functional discovery, due diligence, transition assessments, and testing operating model evaluations.
Strong Healthcare Payer domain expertise.
Proven experience in workforce planning, organizational design, and stakeholder management.
Experience with test management and delivery tools such as Jira, qTest, and Azure DevOps.
Understanding of modern Quality Engineering practices, testing governance, and quality metrics.
Healthcare Payer Domain Expertise
Candidates must have experience in the following business areas:
Claims processing
Enrollment
Membership management
Billing
Provider management
Prior Authorization
Care Management
Electronic Data Interchange (EDI) transactions
Mandatory Skills
Functional Testing / Quality Engineering – 10+ years.
Testing Program Leadership / Managed Services – 5+ years.
Facets Healthcare System – 5+ years.
Healthcare Payer domain expertise, including Claims, Enrollment, Membership, Billing, and Provider.
Prior Authorization, Care Management, and EDI Transactions.
Functional Discovery, Testing Assessments, Transition Planning, and Testing Operating Models.
Workforce Planning, Organizational Design, and Stakeholder Management.
Jira, qTest, and Azure DevOps.
Preferred Qualifications
Experience with Healthcare Payer managed services transformations.
Experience establishing or assessing a Testing Center of Excellence (TCoE).
Exposure to Test Data Management (TDM).
Experience with AI-enabled Quality Engineering initiatives.
Familiarity with CMS and healthcare regulatory testing programs.
