EDI Tester- Facets & Payer

Envision Technology Solutions; Seattle (WA); On-site; USD 140,000 - 190,000; Full time

Job summary

Envision Technology Solutions in Seattle seeks a seasoned Quality Engineering leader to drive testing programs for Healthcare Payer initiatives. You will lead discovery, due diligence, transition assessments and establish testing operating models for Facets, Claims, Enrollment, Membership, Billing and Provider domains.

Responsibilities include workforce planning, stakeholder management, and delivering modern QA practices using Jira, qTest and Azure DevOps.

Qualifications

• 10+ years of experience in Functional Testing or Quality Engineering.
• 5+ years leading testing programs or managed services engagements.
• 5+ years of experience with the Facets healthcare system.
• Experience in discovery, due diligence, transition assessments, and testing operating model evaluations.
• Experience in Claims, Enrollment, Membership, Billing & Provider domains.
• Prior Authorization, Care Management & EDI Transactions.
• Proven experience in workforce planning, organizational design, and stakeholder management.
• Familiarity with Jira, qTest, Azure DevOps, and modern Quality Engineering practices.

Skills

Functional Testing / Quality Eng

Testing Program / Managed Services

Facets Healthcare System

Healthcare Payer Domain

Prior Authorization / Care Mgmt / EDI

Discovery & Testing Operating Models

Workforce Planning & Stakeholder Mgmt

Modern Quality Eng Practices

Tools

Jira

qTest

Azure DevOps

Job description

Domain Experience (If any) – Healthcare Payer / Facets

• Skill 1 – Functional Testing / Quality Engineering, with 10+ years of experience
• Skill 2 – Testing Program / Managed Services Leadership, 5+ years
• Skill 3 – Facets Healthcare System, 5+ years
• Skill 4 – Healthcare Payer Domain: Claims, Enrollment, Membership, Billing & Provider
• Skill 5 – Prior Authorization, Care Management & EDI Transactions
• Skill 6 – Functional Discovery, Testing Assessments, Transition Planning & Testing Operating Models
• Skill 7 – Workforce Planning, Organizational Design & Stakeholder Management
• Skill 8 – Jira, qTest & Azure DevOps

Required Experience

• 10+ years of experience in Functional Testing or Quality Engineering.
• 5+ years leading testing programs or managed services engagements.
• 5+ years of experience with the Facets healthcare system.
• Experience in discovery, due diligence, transition assessments, and testing operating model evaluations.
• Claims
• Membership
• Provider
• Prior Authorization
• Care Management
• EDI Transactions
• Proven experience in workforce planning, organizational design, and stakeholder management.
• Familiarity with Jira, qTest, Azure DevOps, and modern Quality Engineering practices.

Preferred Experience

• Healthcare Payer managed services transformations.
• TCoE establishment and maturity assessments.