Medicare IT Quality & Business Testing Lead

HCSC Group; Nashville (TN); On-site; USD 70,000 - 126,000; Full time

Job summary

HCSC is seeking an IT Business Consultant to ensure quality, accuracy, and regulatory compliance of Medicare operations solutions. You will partner with business stakeholders, product teams, operations, and technology to validate requirements, design test scenarios, and execute end-to-end testing that meets CMS guidelines.

The role demands strong analytical skills, healthcare knowledge, and clear communication of testing results to stakeholders, delivering high-quality outcomes for members,

Qualifications

• Bachelor degree or 7 years’ experience in health care/business analysis or related field.
• Experience in testing, QA, UAT, and validation of business processes.
• Healthcare payer experience, preferably Medicare/Medicaid.
• Excellent written and verbal communication for diverse stakeholders.
• Experience with multiple departments and priority changes.

Responsibilities

• Validate business requirements and design comprehensive test scenarios.
• Lead end-to-end testing and report defects and risk impacts.
• Collaborate with business, product, operations and technology teams.
• Ensure solutions meet CMS and regulatory requirements.

Skills

Business Analysis

QA & UAT

Agile & Scrum

Stakeholder Management

SQL

Education

Bachelor Degree or equivalent experience

Tools

Jira

Confluence

qTest

TriZetto Facets / EAM

Job description

HCSC is seeking an IT Business Consultant to ensure quality, accuracy, and regulatory compliance of Medicare operations solutions. You will partner with business stakeholders, product teams, operations, and technology to validate requirements, design test scenarios, and execute end-to-end testing that meets CMS guidelines.

The role demands strong analytical skills, healthcare knowledge, and clear communication of testing results to stakeholders, delivering high-quality outcomes for members,