Quality Assurance Lead - Healthcare Domain

Description : Role : QA Lead

Key Responsibilities :

• Develop, execute, and maintain end-to-end test scenarios spanning multiple healthcare domains (Member, Enrollment, Claims, Prior Auth, Encounters, Care Management).
• Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies.
• Conduct functional, Automation , integration, regression, and UAT support testing across cross-functional modules.
• Validate data flow across systems (EDI, downstream platforms, provider / member portals, etc.) and ensure alignment with business rules.
• Identify data requirements and create test data (including mock EDI files like 834, 837, 278, etc)
• Drive root cause analysis of issues and work independently to resolve or escalate with minimal dependency on development teams.
• Ensure compliance with HIPAA and industry standards across testing activities.
• Participate in Agile ceremonies, providing test status, risk assessment, and quality insights.

Required Skills :

Key Notes for this Role :

Mandatory Skills :

(ref : hirist.tech)