Test Lead II (Healthcare Payer)

Location: Remote within the United States; working hours aligned with Eastern Standard Time; travel up to 5%.

Salary: $90,000–$120,000 annual US base salary

Company

hirify.global provides AI-powered operational infrastructure for health insurance companies, helping health plans modernize their operations.

What you will do

• Develop test cases, scenarios, and scripts for claims processing, enrollment, benefits, provider data, and EDI transaction flows.
• Lead functional, integration, regression, and UAT cycles for assigned payer modules.
• Analyze requirements and business rules to identify gaps, ambiguities, and testability issues.
• Manage the full defect lifecycle, including logging, triage, root-cause classification, retesting, and closure tracking.
• Validate EDI transactions including 834, 837, 835, 270/271, and 820 against payer rules and X12 standards.
• Coordinate with developers, business analysts, configuration teams, and offshore QA analysts while reporting execution status, defect metrics, coverage, and risks.

Requirements

• Ability to work remotely from the United States during Eastern Standard Time hours.
• At least 5 years of software QA or testing experience and at least 2 years in a lead or senior tester role.
• Hands-on experience testing U.S. healthcare payer systems, including claims, enrollment, benefits, or provider networks.
• Working knowledge of EDI X12 transactions and HIPAA compliance requirements.
• Experience designing test cases using boundary analysis, equivalence partitioning, and negative testing.
• Proficiency with defect tracking and test management tools such as JIRA, Zephyr, or ALM, plus the ability to interpret payer business rules, EOPs, benefit plan documents, and SLAs.

Culture & Benefits

• Remote work arrangement within the United States.
• Work aligned with Eastern Standard Time and limited travel of up to 5%.
• Opportunity to contribute to healthcare technology modernization and payer compliance initiatives.
• Reasonable accommodations are available in accordance with the Americans with Disabilities Act.