Job Description

Location: Richmond, VA
Position Type: Hybrid
Hybrid Schedule: 3 days onsite and 2 days remote
Contract Length: Long-term with annual extensions


Highly skilled Systems Analyst with deep expertise in healthcare claims processing and enterprise-scale systems, responsible for analyzing, enhancing, and ensuring the stability of complex MMIS/MES environments. This role bridges technical and business functions, leading testing, system improvements, and cross-functional coordination to drive accuracy, compliance, and operational efficiency.

Duties:

• Conduct impact analysis for system changes, enhancements, and new module implementations
• Lead advanced analysis across Member, Claims, and Finance modules to define solution approaches
• Evaluate workflows, identify system gaps, and recommend strategic enhancements
• Oversee system development activities including design reviews, integration testing, and production validation
• Act as a senior technical liaison with vendors and cross-functional teams to support stable operations
• Support system upgrades, interface enhancements, configuration changes, and security improvements
• Coordinate cross-module alignment to prevent downstream system conflicts
• Provide support for audit and compliance activities, including financial reconciliation processes
• Perform root cause analysis for complex production issues and drive long-term corrective actions
• Develop and execute comprehensive test strategies including SIT, UAT, and end-to-end testing
• Participate in Agile ceremonies such as sprint planning and backlog refinement; design and execute test cases
• Test COTS applications and support data conversion and integration efforts
• Create business test scenarios, test cases, and test data; assist with execution activities
• Support system releases, enhancements, and production defect resolution
• Lead defect triage calls and manage defect tracking through resolution
• Communicate testing progress, results, and metrics to stakeholders; maintain documentation
• Monitor schedules, track execution progress, and escalate risks and issues as needed
• Collaborate with technical teams, business users, and cross-functional stakeholders with minimal supervision

Required Skills:

• 12 years of experience coordinating System Integration Testing (SIT), User Acceptance Testing (UAT), and End-to-End testing activities across complex environments
• 11 years of strong debugging and problem-solving experience, with the ability to resolve complex system issues
• 10 years of proven Agile testing experience within iterative development environments
• 10 years of experience developing manual test scenarios aligned to business requirements
• 10 years of experience creating manual test cases and preparing test data for execution
• 10 years of experience executing test cases and managing defect tracking processes
• 10 years of experience producing metrics reporting and comprehensive test summary documentation
• 10 years of experience managing defect triage calls across multiple vendors and systems
• 10 years of excellent organizational and communication skills, with the ability to meet deadlines professionally and maintain a strong customer focus
• 5 years of experience working with large-scale claims processing systems (MMIS or similar platforms)
• 5 years of experience using Azure DevOps or similar test management tools for planning, tracking, and execution

Preferred Skills:

• 7 years of experience with Mainframe testing environments