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