Functional Test Lead/ Architect

Location: Chennai, Bangalore, Hyderabad, Pune & Baroda

Work Mode : Hybrid

Exp : 10+ Yrs

Looking for Immediate to 15 Days joiners only, since we are planning to kick start this project by Aug 1st week.

End-to-End Test lead,

Key Responsibilities:

• Develop, execute, and maintain

  end-to-end test scenarios

  spanning multiple healthcare domains (Member, Enrollment, Claims, Prior Auth, Encounters, Care Management).
• Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies.
• Conduct

  functional, integration, regression, and UAT support testing

  across cross-functional modules.
• Validate data flow across systems (EDI, downstream platforms, provider/member portals, etc.) and ensure alignment with business rules.
• Identify data requirements and create test data (including mock EDI files like 834, 837, 278, etc.).
• Drive root cause analysis of issues and work independently to resolve or escalate with minimal dependency on development teams.
• Ensure compliance with HIPAA and industry standards across testing activities.
• Participate in Agile ceremonies, providing test status, risk assessment, and quality insights.

Required Skills:

• Strong domain expertise in

  US Healthcare

  : Member Management, Enrollment (834), Claims (837P/I), Prior Authorization (278), Encounters and Care Management workflows.
• Hands-on experience with

  EDI formats

  , healthcare platforms, and data validation tools.
• Proven ability to

  work independently

  , drive testing strategy, and challenge assumptions.
• Experience with tools such as

  JIRA, qtest, ADO, SQL, Postman

  , and test automation basics (TOSCA, optional but a plus).
• Strong communication and analytical skills to work across cross-functional teams.
• Ability to troubleshoot data and integration issues across APIs, DBs, and EDI feeds.