Job Title: Functional IT Quality Assurance Lead – Billing
Project: Revenue Cycle System Replacement (Athena IDX)
Project Length: 18 months +
Location: Remote or Hybrid Onsite in Buffalo, NY
Travel for Remote Candidates: Minimal travel may be required during key project activities
Position Summary:
Client is looking for an experienced IT Quality Assurance (ITQA) professional to manage the Software Quality Assurance for the billing track of the revenue cycle system replacement. Client is moving off their legacy system and has purchased Athena IDX and over the next couple years will plan, design, and execute a full system replacement for their registration, scheduling, and billing processes. The Functional ITQA Lead for billing will work closely with the Senior ITQA Lead for the overall project as well as the vendor and the implementation partner to set the IT Quality Assurance process and test strategies for their assigned track for all phases of the testing cycle. This role will create a strong partnership with Roswell’s business team responsible for billing to ensure a high-quality implementation for the revenue cycle.
The desired candidate will be an expert in Hospital and Medical Billing. They will be an IT Quality Leader, advocating for Quality and the Quality Assurance and Testing Process. The role requires someone who is influential, politically savvy, and has superb oral and written communication skills with the ability to work in an environment where there are many organizations and leaders often pulling in different directions at any given time. This role will identify quality and testing risks and recommend risk mitigation strategies working closely with program and project management to communicate these risks to executives.
This role will immerse themselves in the revenue cycle billing process during the requirements gathering phase, identifying testing opportunities early as well as identifying quality risks. Throughout the planning phase the candidate will gain the knowledge and expertise necessary in the business and in Athena IDX to work closely with the vendors and business partners to set the test strategy for their track. This role will not only lead testing, but be hands on creating test plans, test cases, executing tests, and identifying defects.
Primary Job Duties:
• Creates Test Plans and strategies for the billing track of the Athena IDX implementation.
• Presents Test Plans and strategies to the business and vendor gaining buy in on established processes.
• Holds testing kick off meetings, presenting the plan to assigned testers from the business, vendor, and IT team.
• Identifies and creates test cases, ensuring coverage to all the requirements identified during the planning phase.
• Writes detailed test cases from the requirements documents and workflows.
• Supports the Senior ITQA lead in planning and estimating quality assurance deliverables.
• Ensures all requirements for assigned track are planned for, all test cases are linked to the proper requirement(s), all test cases are executed, all defects are updated, and root causes have been researched, communicated, and addressed.
• Attends requirements sessions and identifies quality risks and defects early in the process to prevent failures.
• Identifies appropriate test coverage for complex billing scenarios.
• Works closely with the Senior ITQA Lead to monitor adherence to quality standards and identifies and reports on quality risks.
• Oversees the tracking of quality assurance metrics such as defect density and open defect counts. Oversees team members responsible for testing.
• Executes test cases and identifies defects.
• Facilitates defect management, triage, and prioritization meetings for assigned track.
• Provides quality assurance leadership and guidance to the members of the project team and project leadership team.
Required Experience and Skills:
• Experience in an outpatient, hospital, or Comprehensive Cancer Center setting.
o Experience in Billing and Claims processing in a Healthcare payer setting may also be considered.
• Hands on experience in claims, coding, and billing in an outpatient/hospital setting or at a healthcare payer.
• Experience working on a Revenue Cycle system implementation or other claims processing related system implementation.
• Experience with Athena IDX a plus.
• 5+ years’ experience managing and leading the Software Quality Assurance and Testing on complex integrated programs in corporate environments.
• 5+ years’ business experience in Revenue Cycle billing.
• Experience working with vendors, developers, and business partners to triage and prioritize issues for resolution.
• Experience Identifying Risk and recommending risk mitigation strategies.
• Experience with presentations in large corporate settings.
• Hands on experience in:
o Writing test strategies and test plans on large complex corporate initiatives.
o Writing test cases with and without documented requirements provided.
o Producing daily, weekly, monthly test metrics on large corporate initiatives.
o Executing tests and identifying defects.
• Hands on experience with Micro Focus ALM or other test management software.
• Advanced knowledge with software testing concepts: regression testing, negative testing, White Box v. Black Box, functional v. non-functional testing, defect reporting standards, reproducibility of results.
- 7+ years of IT QA experience
- 5+ years in Healthcare
- 4+ years in Revenue Cycle/billing
- Variety of QA experience and testing tools, or Athena IDX experience..
I would love to spend just minutes having a brief introductory call over the phone to tell you more about this opportunity. I look forward to hearing from you. Also, please send in your latest resume for a quick review.