Remote Insurance Verification Jobs in Salem, OR (NOW HIRING)

We are hiring Sr. UAT Business SME Tester (Health Insurance Marketplace) (REMOTE) for a Contract position in REMOTE, OR
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** We will NOT accept 3rd Party (C2C) Contractors **
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JOB DETAILS:
Position:Sr. UAT Business SME Tester (Health Insurance Marketplace)
JOB REF#:44882 - 11131-26
Duration:8 Months (Contract)
Location:REMOTE - Salem, OR 97302
Pay Rate:OPEN (W2) or your must have our own LLC (No C2C/1099)
This role is 100% REMOTE (Candidate MUST reside in the USA) / HOURS: (Monday - Friday, 8 AM 5 PM PST
Seeking to hire a Sr. UAT Business Subject Matter Expert Tester to support the transition project as they move from an SBM FP to a full State Based Marketplace (SBM). They will work closely with Marketplace business partners, GetInsured, Medicaid/ONE system teams, and technical teams to ensure the new marketplace platform meets business needs, supports compliance, and delivers accurate, high quality functionality.
They will provide advanced user acceptance testing support for the development and implementation of a new State Based Marketplace (SBM). They will ensure that eligibility, enrollment, and Marketplace operations systems meet business needs, align with policy, and function correctly for consumers, partners, and programs. This also involves collaborating closely with Marketplace business partners, product staff, technical teams, the Health Insurance Marketplace s vendor GetInsured, and Medicaid division specifically the teams supporting the ONE eligibility system to design, execute, and validate UAT activities in both agile and traditional delivery environments. You will server as a Subject Matter Expert (SME) in test design, test execution, defect analysis, and continuous improvement of testing processes.
RESPONSIBILITIES INCLUDE:
Review and analyze project requirements, user stories, use cases, process flows, and acceptance criteria for clarity, completeness, and testability.
Maintain and update the requirements traceability matrix (RTM).
Create, update, and maintain UAT test cases, scenarios, test data, and test suites.
Contribute to UAT test plans outlining testing scope, approach, environments, schedule, resources, and risks.
Execute manual UAT test cases and document detailed results, including evidence, discrepancies, and validation outcomes.
Participate in test case review sessions and identify automation candidates for collaboration with automation engineers.
Support regression testing and verify defect fixes to ensure system stability.
Support exploratory testing, targeted bug hunts, and ad-hoc validation activities.
Log defects with clear reproduction steps, supporting documentation, and expected behavior; retest defects and confirm resolution. Using JIRA as provided by GI for logging defects.
Perform or support integration testing across systems, APIs, services, and interfaces affecting Marketplace operations.
Contribute to or support load, performance, security, and accessibility testing.
Prepare, request, or curate test data required for UAT cycles.
Validate UAT readiness including requirements, environments, tools, and data availability.
Participate in defect triage, contributing to assessments of priority, severity, and business impact.
Provide guidance, coaching, and support to business SMEs participating in UAT.
Develop and maintain UAT best practices, documentation, templates, and training materials.
Provide daily/weekly test metrics, summaries, and progress updates to program leadership.
Fully participate in Scrum ceremonies (If applicable) including planning, refinement, standups, demos, and retrospectives.
Contribute to release readiness assessments and go/nogo recommendations.
Learn and apply basic automation concepts and collaborate with automation engineers where applicable.
Identify continuous improvement opportunities for UAT processes, tools, and crossteam collaboration.
Serve as a Business SME Tester responsible for validating system behavior from an end-to-end business perspective.
Develop user acceptance test cases,
Execute testing
Ensure that system outputs align with Marketplace policy, operational workflows, and federal and state regulations.
The ideal candidate will have skills and experience in:
Experience working in a Health Insurance Exchange (HIX) environment, including experience within current State Based Marketplace using the Federal Platform (SBMFP) or experience working in a fully State Based Marketplace (SBM).
Advanced understanding of Marketplace operations including eligibility, enrollment workflows, plan management, account transfers, redetermination's, and consumer assistance functions.
Experience supporting or integrating Marketplace operations with a state Medicaid system, including MAGIbased eligibility, account transfers, and coordinated eligibility processes.
Advanced understanding of ACA rules and regulations including APTC/CSR eligibility, enrollment rules, special enrollment periods, and federal reporting/compliance requirements.
Familiarity with test automation frameworks (Selenium, Playwright, Robot Framework, etc.).
Experience preparing or managing complex test data sets.
Background or training in business analysis or broader QA disciplines beyond UAT.
Marketplace domain expertise:
Deep understanding of Health Insurance Exchange (HIX) operations, including differences between SBMs and SBMFPs.
Experience supporting Oregon s current SBMFP environment and the ability to translate that knowledge to the upcoming SBM model.
Strong knowledge of ACA Marketplace policy, including eligibility, enrollment, plan management, account transfers, redetermination's, and consumer assistance.
Advanced understanding of Marketplace interactions with state Medicaid systems, including MAGI rules, account transfers, coordinated eligibility, and data exchange requirements.
Understanding of Marketplace impacts on carriers, assist programs, enrollment partners, and call center operations.
Ability to convert Marketplace policy, CMS guidance, and regulatory requirements into system rules, business logic, and UAT test scenarios
REQUIRED SKILLS/EXPERIENCE:
Strong understanding of UAT methodologies, SDLC, and Agile/Scrum frameworks.
Ability to analyze business and technical requirements and translate them into effective test cases.
Experience designing and executing complex test scenarios.
Proficiency using test management and defect tracking tools (Azure DevOps, Jira, etc.).
Understanding of accessibility standards (WCAG), security testing fundamentals, and performance considerations.
Strong analytical and problem solving skills.
EXCELLENT communication skills for both technical and nontechnical audiences.
Ability to prioritize work, manage time effectively, and operate with limited supervision.
Ability to identify risks and propose mitigation strategies.
EDUCATION: Bachelor's degree in Computer Science, IT or related field
Experience Level:
10+ years' proven experience in a variety of technologies and roles, including SME in product and software or functional areas.
Provide proven, specialized experience from related businesses or organizations as well as system integration and technology experience.
Expertise could include various technologies and roles, including SME in product and software or functional areas.
Worked with Mid and Senior management and stakeholders in an organization.
Other Requirement:
Candidate must use their own computer, monitor(s), Internet connection, and telephone, and be readily available during normal working hours via phone, email or instant message.
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Calance Consultant Benefits Offerings:
- EPO/PPO Medical Plans
- HMO/PPO Dental programs
- Vision - VSP (Vision Plan Summary)
- 401K Retirement vesting program (VOYA)
- Paid Bi-Weekly/Direct Deposit
- Flex Spending Plan
- Voluntary Life, AD&D, STD or LTD plans