Functional Test Lead
Core
Lead functional discovery, due diligence, and testing assessments for healthcare payer systems, specifically the Facets platform, to define future-state testing organizations and transition roadmaps.
Role type
Senior IC functional test lead (healthcare payer domain)
Builds
Transition roadmaps, governance frameworks, and testing operating models for healthcare payer managed services
Domain
Healthcare payer / Health insurance
Required skills
Functional testing, Quality Engineering, Facets healthcare system, Claims processing, Enrollment management, Billing operations, Prior authorization, Care management, EDI transactions, Workforce planning, Organizational design, Stakeholder management, Jira, qTest, Azure DevOps
Preferred skills
Healthcare payer managed services transformations, TCoE establishment, Test Data Management, AI-enabled Quality Engineering, CMS regulatory testing
Technologies
Azure, CMS, DevOps, JIRA, Cloud
Responsibilities
Lead functional discovery workshops with business and testing stakeholders; Assess business processes, application landscapes, and testing scope; Evaluate test coverage, requirements traceability, and release readiness; Identify gaps in functional testing and operating models; Define future-state functional testing organization and staffing; Support knowledge transfer and transition planning; Collaborate with Architecture, Automation, and Test Data Management teams; Develop transition roadmaps, KPIs, SLAs, and governance frameworks; Present assessment findings and risks to client leadership.
