Padmi

Technical Test Lead | Insurance | Claims & Policy Administration

United States · HybridPosted 2 months ago
Software QualityUnspecified
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Job Title: Availity QE Lead (Claims & Provider E2E Testing) Work Location: HartfordCT6156 Vendor Rate: 51.80 Contract duration: 12 Target Start Date: 01 Jul 2026 Does this position require Visa independent candidates only? YES hybrid work set-up Job Details: Must Have Skills Payer–provider integration workflows Authorization processes Provider data exchange Eligibility verification Utilization management Claims adjudication & provider workflows Healthcare applications (Availity, eviCore) Nice to have skills QA leadership & test governance End-to-end test strategy & execution Defect management & leakage prevention Integration testing (upstream/downstream systems) Test data management & environment readiness Release assurance & coordination Eclipse-based healthcare application exposure Detailed Job Description • Brings hands-on experience working with key Healthcare applications such as Availity and eviCore, with exposure to payer-provider integration workflows and authorization processes. • Demonstrates strong functional understanding of provider data exchange, eligibility verification, and utilization management, enabling seamless coordination with business stakeholders. • Strong QA leadership across claims adjudication and provider workflows • Expertise in end-to-end test strategy, execution, and defect management • Experience managing upstream/downstream integrations • Focus on test data readiness, environment alignment, and release assurance • Proven ability to drive cross-functional coordination and reduce defect leakage Minimum years of experience 8-10 years Certifications Needed :No Top 3 responsibilities you would expect the Subcon to shoulder and execute Stakeholder Managment Test management Test Reirting and SLAs Interview Process (Is face to face required?) Yes Any additional information you would like to share about the project specs/ nature of work support critical Caremark Aetna initiatives across claims and provider domains, including largescale enterprise transformation and core QA delivery. These roles are pivotal to ensuring release stability, regression coverage, and transformation readiness, with strong dependency on onsite coordination and leadership presence. Project Code: Hartford Child code for HC 1 2 7 and SS

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