Role Overview
We are seeking an Expert Quality Analyst to serve as the senior-most quality authority within a US Healthcare product team. This role drives test strategy, regulatory validation rigor, and systemic quality improvements across complex, rule-driven systems.
Core Responsibilities
- Define and drive test strategy for complex healthcare modules or subsystems
- Establish risk-based validation approaches for regulated workflows
- Design comprehensive validation strategies across functional, integration, and regression layers
- Ensure compliance-sensitive logic is thoroughly validated
- Lead production defect root cause analysis for systemic issues
- Define automation strategy across manual and automated coverage
- Identify high-value automation candidates based on risk and repeatability
- Drive quality metrics, coverage reporting, and defect trend analysis
- Mentor Senior and mid-level QA analysts
- Partner with Engineering and Product leadership on quality impact assessment
Mandatory Skills & Experience
Domain Expertise (Required)
- 7–10 years of experience in US Healthcare technology
- Strong understanding of the US healthcare claims lifecycle and the ability to analyze issues, investigate data, and debug problems across application and database layers.
- Experience with Submissions workflows or risk adjustment is highly preferred.
- Familiarity with government-sponsored programs such as Medicare, Medicaid, and Advantage plans is expected.
- At a minimum, candidates should understand end-to-end claims processing on the clearinghouse or payer side.
Technical & Quality Strategy Expertise
- SQL & Data Investigation – Strong SQL skills are required, including the ability to query data, validate scenarios, and investigate issues.
- Experience working with Amazon RDS (SQL Server) and analytical platforms such as Amazon Redshift is preferred, though experience with similar relational databases or data warehouse technologies is acceptable
- Testing Practices & Process Improvement – Solid understanding of testing processes including functional, integration, and regression testing.
- Ability to identify opportunities to improve testing efficiency, optimize test coverage, and enhance overall QA practices.
- Programming & Automation – Working knowledge of programming concepts, with Python preferred, and the ability to define, contribute to, or implement automation frameworks where appropriate
- Experience designing risk-based testing strategies
- Strong understanding of SDLC, STLC, and Agile practices
- Experience leading validation efforts for complex feature releases
- Strong analytical skills to identify systemic quality risks
Good to Have
- Hands-on experience with automation frameworks
- Experience integrating automated testing into CI/CD pipelines
- Experience with API testing
- Exposure to performance testing concepts
- Knowledge of Medicare, Medicaid, or Risk Adjustment workflows
- Testing certifications( ISTQB, CSTE)
Benefits
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.
- Quarterly Company-Wide Recharge Days
- Flexible Work Environment (Remote/Hybrid Options)
- Peer-based incentive Cheer awards
- Tuition Reimbursement Program
To know more about the benefits and culture at Veradigm, please visit the links mentioned below: -
https://veradigm.com/about-veradigm/careers/benefits/
https://veradigm.com/about-veradigm/careers/culture/
Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
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