Quality Engineering Lead (US Healthcare Revenue Cycle Management (RCM)

Job Description

We are looking for a highly skilled and hands-on Quality Engineering Lead with strong experience in the US Healthcare Revenue Cycle Management (RCM) domain. The ideal candidate should have deep healthcare business knowledge, proven QA leadership capabilities, and expertise in driving end-to-end testing across complex healthcare applications.

This role requires an individual who can lead QE teams, work closely with business and technology stakeholders, define quality strategies, mentor team members, and ensure high-quality product delivery.

Key Responsibilities

• 7+ Years of experience in Quality Testing, US Healthcare, RCM, Manual Testing.
• Lead and manage Quality Engineering activities for healthcare applications and RCM platforms.
• Define and drive QA strategy, test planning, execution, automation adoption, and quality governance.
• Work closely with Product Owners, Business Analysts, Developers, Operations, and Client stakeholders.
• Provide leadership to QA teams across multiple projects and PODs.
• Conduct requirement analysis and identify test scenarios, risks, and quality gaps.
• Drive functional, integration, regression, API, and end-to-end testing initiatives.
• Review test cases, execution results, defect reports, and quality metrics.
• Establish QA best practices, testing standards, and continuous improvement initiatives.
• Participate in release planning, defect triage, and production support activities.
• Coach and mentor QA engineers and leads to build a high-performing QE organization.
• Implement automation and AI-driven testing approaches wherever applicable.

Mandatory Domain Expertise

Strong hands-on experience in US Healthcare with deep understanding of:

• Revenue Cycle Management (RCM)
• Claims Lifecycle Management
• Patient Registration
• Eligibility & Benefits Verification
• Prior Authorization
• Charge Capture
• Medical Coding
• Claims Submission
• Denial Management
• Payment Posting
• Accounts Receivable (AR) Follow-up
• Appeals & Collections

Strong understanding of:

• Medicare & Medicaid
• Commercial Payers
• Provider and Payer workflows
• HIPAA compliance
• EDI Transactions:
• 837 Claims
• 835 Remittance
• 270/271 Eligibility
• 276/277 Claim Status
• Healthcare data validation and testing

Technical Skills

• Strong expertise in Functional Testing and Test Management.
• Experience in API Testing using Postman, Swagger, or similar tools.
• Hands-on experience with Automation frameworks using Selenium, Playwright, or equivalent.
• Good understanding of SQL and Database Validation.
• Experience working in Agile/Scrum environments.
• Knowledge of CI/CD pipelines and quality metrics.
• Experience with Jira, Azure DevOps, or similar ALM tools.

Leadership Expectations

• Manage and lead QA teams of 10+ members.
• Drive accountability, ownership, and delivery excellence.
• Strong stakeholder management and client-facing communication.
• Experience presenting quality metrics to leadership.
• Ability to identify risks early and drive resolution.
• Build and scale QE practices across projects.

Preferred Qualifications

• Experience leading QA for Healthcare RCM transformation programs.
• Exposure to AI-assisted testing and test automation initiatives.
• ISTQB certification preferred.
• Experience with Facets, Epic, Cerner, Athena, QNXT, or other healthcare platforms is an added advantage.

Success Profile The ideal candidate is:

• Strong in Healthcare RCM domain.
• Hands-on and technically sound.
• Able to challenge requirements and drive quality improvements.
• Strong communicator and people leader.
• Comfortable working with business, operations, and technology teams.
• Focused on delivery, accountability, and measurable quality outcomes.

Shift: 2 PM to 11 PM

Work Mode: Hybrid (3 Days office in week)

Notice Period: Immediate to 15 Days

Location: Hyderabad (Hitech city)

Thanks & Regards,

Shaik Thanveer Ahamed

Shaik.ahamed@Sagility.com