Healthcare IT testing and quality assurance leader with 12+ years of experience supporting healthcare systems, enterprise implementations, and complex testing initiatives. Experienced leading and coordinating testing across multiple workstreams, releases, regions, and stakeholder groups, with strengths in functional, integration, interface, data validation, regression, UAT, and end-to-end testing. Proven ability to guide testing teams through planning, readiness, execution, defect investigation, retesting, and release validation while managing competing priorities and aggressive timelines. Strong background in Enrollment & Eligibility, healthcare membership systems, electronic enrollment interfaces, and cross-functional stakeholder leadership.
Lead testing activities for a large-scale enterprise healthcare membership system implementation, coordinating testing across multiple workstreams, regions, releases, and business areas.
• Provide testing oversight, direction, and technical guidance to business testers, operations teams, subject matter experts, and cross-functional stakeholders throughout test planning, readiness, execution, defect resolution, and retesting.
• Lead Enrollment & Eligibility testing across complex healthcare workflows involving membership, enrollment, eligibility, Medicare, billing, electronic enrollment interfaces, and downstream system integrations.
• Coordinate functional, integration, interface, regression, data validation, and end-to-end testing to verify system configuration and business requirements prior to production implementation.
• Manage concurrent testing initiatives while balancing scope, timelines, defects, environment readiness, dependencies, and release milestones.
• Lead testing meetings, defect triage sessions, stakeholder discussions, and working sessions with business, technical, development, operations, product support, and testing teams.
• Analyze business and technical requirements to develop testing scenarios, identify coverage gaps, and determine appropriate validation methods for complex healthcare workflows.
• Review test scenarios, execution results, and supporting evidence for quality, completeness, and alignment with expected business outcomes.
• Execute manual testing and validate results across upstream and downstream healthcare systems, including inbound 834 enrollment transactions, data mappings, effective dates, benefits, subgroup, and member-level data.
• Lead defect investigation and root cause analysis for complex system, configuration, interface, mapping, and data issues; coordinate resolution and retesting with technical teams.
• Document, track, prioritize, and manage defects through the testing lifecycle, communicating status, risk, dependencies, and potential release impacts.
• Coordinate testing readiness across SIT and production-like environments, including file processing, test-data preparation, interface readiness, and downstream system availability.
• Provide coaching and guidance to testers and business partners on test execution, defect documentation, validation methods, and testing best practices.
• Participate in PI planning and release-readiness activities, proactively identifying testing dependencies, quality risks, and implementation impacts.
• Coordinated enterprise testing activities across Enrollment & Eligibility, accounting, billing, and related healthcare value streams.
• Managed test execution tracking and communicated real-time status, risks, defects, and dependencies to maintain alignment with release schedules.
• Developed and executed business and system test scenarios to validate functional requirements and end-to-end healthcare workflows.
• Partnered with technical and business teams to investigate defects, validate fixes, determine downstream impacts, and support successful implementation.
• Analyzed system and business processes to identify testing gaps, workflow inefficiencies, and opportunities to improve quality.
• Supported cross-functional healthcare technology initiatives spanning Enrollment & Eligibility, membership, accounting, and billing.
• Coordinated test case execution, status reporting, defect identification, and release activities to support timely delivery of system enhancements.
• Conducted User Acceptance Testing and scenario-based validation for healthcare membership system functionality.
• Analyzed business requirements and operational workflows to identify gaps, risks, and system improvement opportunities.
• Supported defect investigations through process mapping, workflow analysis, and collaboration with technical and business teams.
• Led operational activities supporting complex healthcare membership, enrollment, eligibility, and financial account functions.
• Oversaw membership eligibility processes to support accurate and timely access to healthcare benefits.
• Executed scenario-based UAT for the MembershipConnect platform and validated system behavior against business workflows.
• Identified and investigated system defects using process mapping, workflow analysis, and operational data.
• Facilitated stakeholder meetings to investigate issues, communicate findings, and coordinate resolution.
• Performed detailed financial and membership reconciliations, identifying discrepancies and partnering with cross-functional teams to resolve data issues.
• Coordinated documentation, scheduling, and meeting readiness for business and executive stakeholders.
• Maintained and reconciled accounts payable and receivable records and supported financial reporting activities.
• Prepared business and tax documentation in partnership with executive CPAs while maintaining accuracy and confidentiality.