Remote Test Lead, Healthcare Payer Testing

HealthEdge; United States; Remote; USD 100,000 - 120,000; Full time

Job summary

HealthEdge is seeking a Test Lead with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This role is hands-on — you own test case design, defect management, and daily execution quality while collaborating with the Test Manager and cross-functional delivery teams.

Location: Remote, United States. You will lead testing of claims processing, enrollment, benefits, and provider data, coordinate EDI transactions, and support compliance tests across

Qualifications

• 5+ years in software QA/testing.
• 2+ years in a lead or senior tester role.
• Solid experience testing U.S. healthcare payer systems — claims, enrollment, benefits, or provider network.
• Working knowledge of EDI X12 transactions and HIPAA compliance requirements.
• Hands-on test case design using boundary analysis, equivalence partitioning, and negative testing techniques.
• Proficiency in defect tracking and test management tools (JIRA, Zephyr, ALM).
• Ability to read payer business rules, EOPs, benefit plan documents, and SLAs.
• Strong attention to detail — payer system defects have financial and compliance consequences.

Responsibilities

• Develop detailed test cases, scenarios, and scripts for payer modules (claims, enrollment, benefits).
• Lead functional, integration, regression, and UAT cycles.
• Analyze requirements and identify gaps and testability issues before execution.
• Own defect lifecycle management from logging to closure.
• Validate EDI transactions (834, 837, 835, 270/271, 820) against rules and standards.
• Coordinate with developers, BAs, and config teams to resolve blockers.
• Produce daily/weekly status reports with defect metrics and risk flags.
• Manage offshore QA analysts.

Skills

QA Testing

Lead Experience

Healthcare Payer Testing

EDI X12

HIPAA Compliance

Test Design Techniques

Defect Tracking Tools

Payer Business Rules

Attention to Detail

Tools

JIRA

Zephyr

ALM

Job description

HealthEdge is seeking a Test Lead with healthcare payer domain expertise to drive test planning and execution for payer system engagements. This role is hands-on — you own test case design, defect management, and daily execution quality while collaborating with the Test Manager and cross-functional delivery teams.

Location: Remote, United States. You will lead testing of claims processing, enrollment, benefits, and provider data, coordinate EDI transactions, and support compliance tests across