IT - Technical Test Lead | Insurance | Claims & Policy Administration
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Overview
Job Description
Job Title: Availity QE Lead (Claims & Provider E2E Testing)Work Location: HartfordCT6156Vendor Rate: 51.80Contract duration: 12Target Start Date: 01 Jul 2026Does this position require Visa independent candidates only? YEShybrid work set-up
Job Details:
Must Have SkillsPayer provider integration workflowsAuthorization processesProvider data exchangeEligibility verificationUtilization managementClaims adjudication & provider workflowsHealthcare applications (Availity, evi
Core)
Nice to have skillsQA leadership & test governanceEnd-to-end test strategy & executionDefect management & leakage preventionIntegration testing (upstream/downstream systems)Test data management & environment readinessRelease assurance & coordinationEclipse-based healthcare application exposure
Detailed Job DescriptionBrings hands-on experience working with key Healthcare applications such as Availity and evi
Core, 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 workflowsExpertise in end-to-end test strategy, execution, and defect managementExperience managing upstream/downstream integrationsFocus on test data readiness, environment alignment, and release assuranceProven ability to drive cross-functional coordination and reduce defect leakage
Minimum years of experience8-10 years
Certifications Needed :No
Top 3 responsibilities you would expect the Subcon to shoulder and executeStakeholder ManagmentTest managementTest 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 worksupport 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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