Healthcare Analytics QA Lead – Value-Based Care Platform

Accountabilities

• Own and coordinate the overall quality assurance strategy for a healthcare Contract Performance Analytics Platform built on Exasol and Tableau.
• Review, develop, and execute test cases and scripts in JIRA, ensuring full traceability to business and technical requirements.
• Define and execute financial reconciliation testing to validate total cost of care, per-member-per-month (PMPM) calculations, benchmarks, and projections against source claims data, maintaining an accuracy threshold of ±3%.
• Validate data pipelines, database transformations, and Tableau dashboards to ensure data accuracy, completeness, consistency, and correct filter functionality.
• Independently trace dashboard metrics and reported figures through data transformations back to their original claims and clinical data sources.
• Lead internal testing activities and coordinate client-facing User Acceptance Testing (UAT), including test planning, kickoff meetings, execution, and reporting.
• Validate role-based access controls, restricted data sets, and protected health information (PHI) audit logging to support data security and compliance requirements.
• Coordinate UAT participants, monitor testing progress, and ensure issues are documented, prioritized, and resolved efficiently.
• Lead defect triage activities, track corrective actions, and maintain a 72-hour defect turnaround standard.
• Identify critical issues and testing blockers, escalating risks promptly to project management and leadership teams.
• Monitor and report test execution progress, defect trends, reconciliation results, and overall quality metrics.
• Provide regular go-live readiness assessments and clear recommendations to the Project Management Office (PMO).
• Support key project milestones, including the planned beta release and client UAT in January 2027, followed by the full minimum viable product (MVP) launch targeted for March 1, 2027.

Requirements

• At least 5 years of professional experience in Quality Assurance (QA) or software/data testing, including a minimum of 2 years leading testing activities for data analytics or Business Intelligence (BI) projects.
• Previous experience working with healthcare data, particularly claims, eligibility, payer, or Electronic Health Record (EHR) data.
• Strong SQL skills, with the ability to independently query, validate, reconcile, and investigate complex datasets.
• Demonstrated experience developing and executing test cases, validating data transformations, and identifying discrepancies between source data and reporting outputs.
• Hands-on experience managing User Acceptance Testing (UAT), coordinating client testers, and overseeing defect resolution.
• Experience using JIRA or comparable tools for test management, defect tracking, and requirements traceability.
• Bachelor's degree in a relevant discipline or equivalent professional experience.
• Strong understanding of healthcare analytics, data quality principles, and financial reconciliation methodologies.
• Excellent analytical and problem-solving abilities, with exceptional attention to detail and a methodical, numbers-driven approach to quality assurance.
• Ability to independently trace dashboard metrics through complex data pipelines and transformations to underlying source records.
• Strong communication and stakeholder management skills, with the ability to translate technical testing results, defects, and project risks into actionable recommendations for leadership.
• Ability to manage competing priorities, maintain strict testing timelines, and enforce established defect resolution standards.
• Comfortable working independently while collaborating effectively with technical teams, healthcare stakeholders, and external clients.

Preferred Qualifications

• Experience with value-based care analytics, particularly Medicare Shared Savings Program (MSSP), Accountable Care Organizations (ACOs), Medicare Advantage, and total cost of care reporting.
• Previous experience testing Tableau dashboards and validating business intelligence reporting.
• Familiarity with Exasol or comparable analytical database platforms.
• Knowledge of healthcare quality measurement frameworks, including HEDIS and electronic Clinical Quality Measures (eCQMs).
• Experience supporting healthcare analytics implementations involving multiple data sources, including clinical, claims, and payer information.

Benefits

• Competitive compensation: Attractive contract compensation aligned with experience and qualifications.
• Healthcare coverage: Medical, dental, and vision insurance benefits.
• Retirement planning: Access to a 401(k) retirement savings plan.
• Remote flexibility: Primarily remote working arrangement within the United States.
• Limited travel: Occasional onsite presence, with travel requirements of up to 15%.
• Contract opportunity: Full-time engagement starting as soon as possible and running through March 2027, with the possibility of extension.
• Professional environment: Opportunity to work within a collaborative and supportive team culture.
• Meaningful impact: Contribute to a healthcare analytics platform supporting value-based care contracts, financial performance monitoring, and healthcare operational decision-making.

How Jobgether Works

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