QA Lead / Architect

Urgent Hiring for-

Role

Location

Mandate Skills

Note- Strong experience in EDI with 8 years of experience in healthcare domain.

Key Responsibilities:

• Develop, execute, and maintain 

  end-to-end test scenarios

   spanning multiple healthcare domains (Member, Enrolment, 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, Automation , 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

Interested candidate can share updated resume at axum@vishusa.com