eSense Incorporated · 1 day ago
Quality Assurance Manager
Richmond, VA
Contract
Hybrid
Senior Level, Lead/Staff
10+ years expeSense Incorporated is seeking a Medicaid Business Subject Matter Expert (SME) with strong hands-on experience as a Testing Manager. The ideal candidate will lead large-scale testing activities and ensure compliance with Medicaid systems and business processes.
Business DevelopmentConsultingInformation TechnologyManagement Consulting
Hiring Manager
Sid K
Responsibilities
Analyze and document Medicaid business processes (provider enrollment, eligibility, claims, prior authorization, encounters, reporting)
Interpret and apply CMS regulations, Medicaid state plan requirements, and federal guidance to ensure system compliance and operational accuracy
Collaborate with development, data, and project teams to design, validate, and test system components and workflows
Lead end-to-end testing activities, including test planning, test case development, test execution, defect management, and reporting for both manual and automated testing efforts
Develop and maintain detailed documentation, including: Trading Partner Testing Plans, System Integration Plans, Quality Management Plans, Performance Testing Plans, Companion Guides, Test Summary Reports and Results
Conduct and facilitate requirements and testing sessions with stakeholders across policy, operations, compliance, and IT teams
Coordinate and support User Acceptance Testing (UAT) to ensure successful validation of Medicaid system functionality across releases
Leverage data analysis to validate business rules, identify anomalies, and support decision-making
Provide regular testing reports, issue summaries, and risk assessments to project leadership
Perform other related duties as assigned
Qualification
Required
10+ years of IT systems analysis, with a focus on healthcare systems and Medicaid processes
Subject matter expertise in Medicaid business processes, systems, and regulations
Experience as a Testing Manager overseeing large-scale testing efforts
Strong documentation and communication skills
Bachelor's degree in business administration or science or a related field
Over 10 years of experience in IT systems analysis, with a strong emphasis on healthcare systems and Medicaid processes
SME in Medicaid
In-depth knowledge of Medicaid business processes, regulations, and systems
Proficient in business process analysis, requirements gathering, and creating detailed documentation
Good problem-solving, analytical, and communication skills
Preferred
Background working with government contractors is highly desirable
Company
eSense Incorporated
What is eSense®? eSense is more than just a name.
51-200 employees
H1B Sponsorship
eSense Incorporated has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (3)
2021 (4)
2020 (5)
Funding
Current Stage
Growth StageLeadership Team
Brad Justus
Chief Executive Officer
Sanjay Vaze
Founder and President
Recent News
2025-10-22
Company data provided by crunchbase