测试负责人 - 医疗保险测试
Test Lead - Healthcare Payer Testing
我们目前仅考虑美国公民或绿卡持有者申请此职位。
测试主管 — 医疗保险支付方测试
地点：远程
雇佣类型：全职
职位概述
我们正在寻找一位具备医疗保险支付方领域专业知识的测试主管，负责支付方系统项目的测试计划和执行。此职位需要亲自参与工作 — 您将负责测试用例设计、缺陷管理以及日常执行质量，同时与测试经理及跨职能交付团队紧密合作。
主要职责
为理赔处理、注册、福利、供应商数据和EDI交易流程开发详细的测试用例、场景和脚本
主导所负责支付方模块的功能测试、集成测试、回归测试和用户验收测试（UAT）周期
分析需求和业务规则 — 在执行开始前识别差距、模糊点和可测试性问题
负责缺陷生命周期管理：记录、分类、根本原因分析、重新测试和关闭跟踪
根据支付方业务规则和X12标准验证EDI交易（834、837、835、270/271、820）
支持合规性和监管测试周期 — ICD更新、CMS要求、州特定的医疗补助规则
与开发人员、业务分析师和配置团队协调以解决阻塞问题并明确预期行为
生成每日/每周执行状态报告，包含缺陷指标、覆盖状态和风险标志
管理海外QA分析人员。
所需资格
- 5年以上软件测试或质量保证经验
- 2年以上担任主管或高级测试人员的经验
- 具备测试美国医疗保险支付方系统（理赔、注册、福利或供应商网络）的扎实经验
- 熟悉EDI X12交易和HIPAA合规要求
- 具有使用边界分析、等价划分和负面测试技术进行测试用例设计的实际经验
- 熟练使用缺陷跟踪和测试管理工具（如JIRA、Zephyr、ALM或同等工具）
- 能够阅读和解读支付方业务规则、EOPs、福利计划文档和SLA
- 对细节有高度关注 — 支付方系统的缺陷可能带来财务和合规后果
地理责任范围：远程，美国
雇佣类型：全职，长期
FLSA分类（仅限美国）：非豁免
工作环境：此处描述的体力要求代表员工成功履行本职位核心职责所需的典型要求：
· 员工偶尔需要在办公室内走动。具体视力能力
查看英文原文
Overview
We can only consider US Citizens or Green Card holders for this position at this time.
Test Lead — Healthcare Payer Testing
Location: Remote
Employment Type: Full-Time
Role Overview
We are seeking a Test Lead with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This role is hands-on — you own test case design, defect management, and daily execution quality while collaborating closely with the Test Manager and cross-functional delivery teams.
Key Responsibilities
Develop detailed test cases, scenarios, and scripts for claims processing, enrollment, benefits, provider data, and EDI transaction flowsLead functional, integration, regression, and UAT cycles for assigned payer modulesAnalyze requirements and business rules — identify gaps, ambiguities, and testability issues before execution beginsOwn defect lifecycle management: logging, triage, root cause classification, retest, and closure trackingValidate EDI transactions (834, 837, 835, 270/271, 820) against payer business rules and X12 standardsSupport compliance and regulatory test cycles — ICD updates, CMS mandates, state-specific Medicaid rulesCoordinate with developers, BAs, and configuration teams to resolve blockers and clarify expected behaviorProduce daily/weekly execution status reports with defect metrics, coverage status, and risk flagsManages offshore QA analysts.
Required Qualifications
- 5+ years in software QA/testing
- 2+ years in a lead or senior tester role
- Solid experience testing U.S. healthcare payer systems — claims, enrollment, benefits, or provider network
- Working knowledge of EDI X12 transactions and HIPAA compliance requirements
- Hands-on test case design experience using boundary analysis, equivalence partitioning, and negative testing techniques
- Proficiency in defect tracking and test management tools (JIRA, Zephyr, ALM, or equivalent)
- Ability to read and interpret payer business rules, EOPs, benefit plan documents, and SLAs
- Strong attention to detail — payer system defects have financial and compliance consequences
Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
· The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
· Work across multiple time zones in a hybrid or remote work environment.
· Long periods of time sitting and/or standing in front of a computer using video technology.
· May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
**The annual US base salary range for this position is $100,000 to $120,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.
Originally posted on Himalayas