Quality Engineering Lead

Project Role:

Quality Engineering Lead

Project Role Description:

Leads a team of quality engineers through multi-disciplinary team planning and ecosystem integration to accelerate delivery and drive quality across the application lifecycle. Applies business and functional knowledge to develop end-to-end testing strategies through the use of quality processes and methodologies. Applies testing methodologies, principles and processes to define and implement key metrics to manage and assess the testing process including test execution and defect resolution.

Must have skills:

HealthEdge

Good to have skills:

Health Insurance Operations

Minimum

5

year(s) of experience is required

Educational Qualification:

15 years full time education

Job Summary

We are looking for a skilled HealthEdge Developer to join our healthcare insurance project. The candidate will be responsible for designing, developing, configuring, integrating, and supporting solutions using the HealthEdge HealthRules platform. The role requires a strong understanding of healthcare insurance business processes, claims, benefits, enrollment, and payer systems.

Key Responsibilities:

-Develop, configure, and customize solutions on the HealthEdge HealthRules platform.

-Work on healthcare insurance processes including claims, benefits, enrollment, membership, providers, and pricing.

-Analyze business and technical requirements and translate them into HealthEdge configurations and technical solutions.

-Configure HealthRules applications based on project-specific business requirements.

-Develop and maintain integrations between HealthEdge and external systems.

-Support claims processing, adjudication, benefit configuration, and pricing requirements.

-Perform unit testing, integration testing, defect analysis, and production support.

-Troubleshoot application and integration issues and provide root-cause analysis.

-Collaborate with Business Analysts, architects, developers, QA teams, and business stakeholders.

-Participate in requirement analysis, design discussions, code/configuration reviews, and deployment activities.

-Prepare technical documentation, configuration documents, and support documentation.

-Ensure solutions comply with healthcare industry standards, security requirements, and project guidelines.

Required Skills:

-Hands-on experience with HealthEdge HealthRules or HealthRules Payor.

-Strong understanding of US healthcare insurance/Payer domain.

-Good knowledge of Claims, Benefits, Enrollment/Membership, Provider, and Pricing processes.

-Experience with HealthEdge configuration and customization.

-Experience with healthcare application integrations and APIs.

-Strong SQL skills for data analysis and troubleshooting.

-Good understanding of SDLC, Agile methodologies, testing, and production support.

-Strong analytical, problem-solving, and communication skills.

Preferred Skills

-Experience with HealthRules Connector (HRC) or HealthRules Integration.

-Knowledge of EDI transactions, including 834, 837, 835, and 270/271.

-Experience with REST/SOAP APIs and integration technologies.

-Knowledge of healthcare standards such as HIPAA and X12.

-Experience working with US healthcare payer clients.

-Experience with cloud platforms such as Azure or AWS is an advantage.

-Experience with DevOps/CI-CD processes is a plus.

Experience

-5+ years of overall IT experience.

-3+ years of relevant HealthEdge/HealthRules experience preferred.

-Healthcare insurance/payer experience is mandatory or strongly preferred.

Education

-Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.

Location

Hyderabad / Bangalore

Work model: Hybrid

Role Expectations

The candidate should be able to work independently on HealthEdge-related development/configuration activities, collaborate effectively with distributed teams, and provide production support when required. Experience working with large-scale US healthcare insurance projects will be highly preferred.

15 years full time education

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.

Visit us at www.accenture.com

Equal Employment Opportunity Statement

We believe that no one should be discriminated against because of their differences. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, military veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by applicable law. Our rich diversity makes us more innovative, more competitive, and more creative, which helps us better serve our clients and our communities.