Test Manager

F-Prime Capital; United States; On-site; USD 120,000 - 140,000; Full time

Job summary

HealthEdge is seeking a Test Manager to lead end-to-end testing across multiple payer-focused client engagements. You will own test strategy, governance, and quality outcomes on regulatory releases and migrations. Remote in the United States.

The role requires extensive QA leadership, payer domain knowledge, and collaboration with business analysts, developers, and configuration teams to ensure testability and successful production deployments.

Qualifications

• 10+ years in software QA/testing.

Responsibilities

• Define and own test strategy, plans, and criteria for engagements.
• Lead test execution for payer-related modules and EDI transactions.
• Establish QA governance: defect triage, coverage metrics, release readiness.
• Drive regulatory readiness for CMS, ACA, and HIPAA requirements.
• Manage offshore test leads and QA analysts.
• Act as QA lead for clients: status, risk, and go/no-go decisions.
• Identify defect leakage patterns and improve test coverage.
• Collaborate with analysts, developers, and configuration teams to ensure testability.
• Sign off on regulatory and compliance test cases before production release.

Skills

QA experience

Test management

Healthcare payer testing

Domain knowledge

Stakeholder communication

Offshore team management

CMS regulatory testing

Tools

JIRA

Zephyr

ALM

Azure DevOps

Job description

Test Manager

Job Locations: US-Remote

Position Type: Full-Time

Overview

We are looking for a Test Manager with deep expertise in U.S. healthcare payer systems to lead end-to-end testing delivery across multiple client engagements. This role owns test strategy, governance, and quality outcomes for implementations, migrations, and regulatory releases on payer platforms.

Key Responsibilities

• Define and own test strategy, test plans, and entry/exit criteria across all assigned payer client engagements
• Lead test execution for claims adjudication, enrollment, benefits configuration, EDI transactions (834, 837, 835, 270/271), and provider network modules
• Establish and enforce QA governance standards — defect triage cadence, test coverage metrics, sign-off protocols, and release readiness criteria
• Drive compliance readiness for CMS regulatory releases, ACA mandates, and HIPAA requirements
• Manage and mentor offshore team of test leads and QA analysts;
• Serve as primary QA point of contact for client stakeholders — deliver status reporting, risk assessments, and go/no-go recommendations
• Identify production defect leakage patterns and implement upstream test improvements to close coverage gaps
• Partner with business analysts, developers, and configuration teams to ensure testability of requirements
• Ensure all regulatory and compliance test cases are reviewed and signed off before any production release

Required Qualifications

• 10+ years in software QA/testing
• 3+ years in a test management role
• 5+ years testing U.S. healthcare payer platforms (e.g., TriZetto QNXT/Facets, NICE/IntelliSource, Macess, Salesforce Health Cloud)
• Strong domain knowledge: claims lifecycle, COB, prior auth, enrollment/disenrollment, benefit plan configuration, EDI X12 transactions
• Strong stakeholder communication — ability to translate test findings into risk language for non-QA audiences
• Experience managing an offshore team

Preferred Experience

• Demonstrated experience with CMS regulatory compliance testing — ACA, ICD updates, or Medicare/Medicaid programs
• Proficiency in test management tools (JIRA, Zephyr, ALM, Azure DevOps, or equivalent)
• Experience building or overseeing functional and regression test suites; familiarity with automation approaches in payer environments

Geographic Responsibility

Remote, US

Type of Employment

Full-time, permanent

FLSA Classification (USA Only)

Exempt

Work Environment

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Work across multiple time zones in a hybrid or remote work environment.
• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

The annual US base salary range for this position is $120,000 to $140,000.