Lead, Healthcare Payer Functional Testing

UST; Washington; On-site; USD 78,000 - 117,000; Full time

Benefits offered by this job

401(k) Retirement Plan with employer??

Medical, dental, and vision insurance

Paid time off and holidays

Job summary

UST is seeking an experienced Functional Test Lead with strong healthcare payer domain expertise across Claims, Enrollment, Membership, Billing, Provider, Prior Authorization, Care Management, and EDI transactions. You will lead functional discovery workshops with business, product, application, and testing stakeholders, assess processes and testing scope, and shape the target-state testing model.

This role requires driving change and partnering withArchitecture, Automation, Performance, and TDM

Qualifications

• 10+ years in Functional Testing or Quality Engineering.
• 5+ years leading testing programs or managed services engagements.
• 5+ years of experience in Facets healthcare system.
• Experience in discovery, due diligence, transition assessments, and testing operating model evaluations.
• Proven experience in workforce planning, organizational design, and stakeholder management.
• Familiarity with Jira, qTest, Azure DevOps, and modern QE practices.
• Preferred: Healthcare payer managed services transformations; TCoE; Test Data Management exposure; AI-enabled QE initiatives; CMS and regulatory testing.

Responsibilities

• Lead functional discovery workshops with business, product, application, and testing stakeholders.
• Assess business processes, application landscape, testing scope, dependencies, and quality practices.
• Evaluate test coverage, requirements traceability, release readiness, and defect management processes.
• Identify gaps across functional testing, UAT support, governance, and operating models.
• Define future-state functional testing organization, roles, staffing, and knowledge requirements.
• Support KT, transition planning, shadow/reverse-shadow activities, and ownership transfer.
• Collaborate with Architecture, Automation, Performance, and TDM teams to shape the target-state testing model.
• Develop transition roadmaps, KPIs, SLAs, governance frameworks, and transformation recommendations.

Skills

Functional Testing

Quality Engineering

Testing leadership

Stakeholder management

Workforce planning

Tools

Jira

qTest

Azure DevOps

Job description

UST is seeking an experienced Functional Test Lead with strong healthcare payer domain expertise across Claims, Enrollment, Membership, Billing, Provider, Prior Authorization, Care Management, and EDI transactions. You will lead functional discovery workshops with business, product, application, and testing stakeholders, assess processes and testing scope, and shape the target-state testing model.

This role requires driving change and partnering withArchitecture, Automation, Performance, and TDM