Contract
Key Responsibilities
- Conduct impact analysis for system changes, enhancements, and new module implementations within MMIS/MES.
- Lead advanced analysis across FAS Member, Claims, and Finance modules; assess business objectives, evaluate system impacts, and define high‑level solution approaches.
- Evaluate FAS workflows, identify system gaps, and recommend strategic enhancements to improve automation, accuracy, and compliance.
- Oversee system development activities, including design reviews, integration testing, defect resolution, and production validation.
- Serve as a senior technical liaison with vendors, fiscal agents, and cross‑functional teams to ensure stable, compliant FAS operations.
- Support FAS upgrades, interface enhancements, configuration changes, and system security improvements.
- Coordinate cross‑module alignment to ensure changes in Member, Claims, or Finance workflows do not create downstream system conflicts.
- Support audit and compliance activities by providing expert insights into FAS processes, data structures, and financial reconciliation workflows.
- Drive root cause analysis for complex production issues affecting FAS Member, Claims, and Finance modules, and coordinate long‑term corrective actions.
- Develop and execute comprehensive Test Strategies, including System Integration Testing (SIT), User Acceptance Testing (UAT), and End‑to‑End (E2E) testing for MMIS and MES modules.
- Perform Agile testing activities, including participating in sprint planning and backlog refinement, designing test cases with development teams, validating user stories, and executing continuous integration testing within each sprint.
- Test Commercial Off‑the‑Shelf (COTS) applications and support data conversion and integration across MES modules and COTS products.
- Create and support development of Business Test Scenarios, Test Cases, and Test Data; assist with test execution activities.
- Support ongoing system releases, enhancements, and production defect resolution.
- Lead and manage defect triage calls with multiple vendors, ensuring accurate
defect tracking and timely closure.
UAT progress, results, and metrics to stakeholders; maintain comprehensive
historical testing documentation.
schedules, track execution progress, and communicate risks and issues
promptly.
effectively with technical teams, business users, and cross‑functional
groups with minimal supervision.
Required Skills and Experience
Claims Expertise: In‑depth knowledge of MMIS or similar large‑scale
claims processing systems.
Leadership: Ability to coordinate and direct all testing phases in a
multi‑vendor environment.
Agile Testing experience, including planning and executing functional,
integration, and regression testing within iterative sprint cycles.
Technical Skills:
in Teradata, including writing complex queries.
with Mainframe and DB2 testing preferred.
experience in data conversion, mapping rules, validation, ETL design, and
programming logic.
with IBM Cognos or similar reporting tools is preferred.
Management Tools: Extensive experience with Azure DevOps or comparable
tools for planning, tracking, and executing test activities.
Management: Strong experience managing UAT and defect triage calls
across multiple systems and vendors.
Strong debugging skills and ability to act as a liaison between developers
and business users.
organizational and communication skills; ability to meet deadlines with
professionalism and customer focus.
Skill Required/Desired Amount of Experience Experience with Large-Scale Claims Processing Software (MMIS or similar) Required 5.0 Years Proven Agile Testing Experience Required 10.0 Years Experience with (Manual) Test Scenario Development Required 10.0 Years Manual Test Case Creation and Test Data Preparation Required 10.0 Years Test Case Execution and Defect Tracking Required 10.0 Years Metrics Reporting and Test Summary Documentation Required 10.0 Years Experience with Coordination of SIT, UAT, and End-to-End Testing Activities Required 12.0 Years Experience with Azure DevOps or Similar Test Management Tools Required 5.0 Years Strong Debugging and Problem-Solving Skills Required 11.0 Years Experience in Managing Defect Triage Calls Across Multiple Vendors Required 10.0 Years Experience with Mainframe Testing Desired 7.0 Years Excellent organizational and communication skills; ability to meet deadlines with professionalism and customer focus Required 10.0 Years
