Scope of Work

• Serve as a User Acceptance Testing (UAT) Business Subject Matter Expert (SME) for the Marketplace modernization project.
• Provide advanced UAT support for eligibility, enrollment, and Marketplace operations.
• Validate that system functionality aligns with business requirements, policies, and operational processes.
• Collaborate with business, product, technical, and vendor teams in Agile and traditional project environments.
• Act as a subject matter expert in:
  • Test planning
  • Test design
  • Test execution
  • Defect management
  • Continuous process improvement

Key Responsibilities

• Review and analyze:
  • Business requirements
  • User stories
  • Use cases
  • Process flows
  • Acceptance criteria
• Maintain and update the Requirements Traceability Matrix (RTM).
• Design, develop, and maintain:
  • UAT test cases
  • Test scenarios
  • Test suites
  • Test data
• Develop and contribute to UAT test plans including:
  • Testing scope
  • Testing approach
  • Environments
  • Schedules
  • Resource planning
  • Risk assessments
• Execute manual UAT testing and document:
  • Test evidence
  • Results
  • Validation outcomes
  • Issues and discrepancies
• Participate in test case review sessions.
• Identify automation opportunities and collaborate with automation engineers.
• Perform regression testing and validate defect fixes.
• Conduct exploratory testing and ad-hoc validation.
• Log, track, and retest defects using JIRA.
• Perform integration testing across:
  • Systems
  • APIs
  • Interfaces
  • Services
• Support:
  • Performance testing
  • Security testing
  • Accessibility testing
• Prepare and manage test data for UAT cycles.
• Validate UAT readiness, including:
  • Requirements
  • Environments
  • Test tools
  • Data availability
• Participate in defect triage sessions.
• Assist in prioritizing defects based on:
  • Severity
  • Business impact
  • Risk
• Mentor and support business SMEs participating in UAT.
• Develop UAT:
  • Best practices
  • Templates
  • Documentation
  • Training materials
• Prepare daily and weekly test status reports and metrics.
• Participate in Agile ceremonies, including:
  • Sprint Planning
  • Backlog Refinement
  • Daily Stand-ups
  • Sprint Reviews
  • Retrospectives
• Support release readiness assessments and Go/No-Go decisions.
• Collaborate with automation teams and learn automation concepts where applicable.
• Identify opportunities to improve UAT processes and cross-team collaboration.
• Validate end-to-end business workflows from a business SME perspective.
• Ensure system outputs comply with Marketplace policies, operational workflows, and regulatory requirements.

Required Skills & Experience

• Strong knowledge of:
  • User Acceptance Testing (UAT)
  • Software Development Life Cycle (SDLC)
  • Agile/Scrum methodologies
• Experience analyzing business and technical requirements.
• Ability to translate requirements into comprehensive UAT test cases.
• Experience designing and executing complex test scenarios.
• Hands-on experience with:
  • Azure DevOps
  • JIRA
  • Test management tools
  • Defect tracking tools
• Strong analytical and problem-solving skills.
• Excellent written and verbal communication skills.
• Ability to communicate effectively with both technical and non-technical stakeholders.
• Strong organizational and time management skills.
• Ability to work independently with minimal supervision.
• Knowledge of:
  • Accessibility standards (WCAG)
  • Security testing fundamentals
  • Performance testing concepts
• Ability to identify project risks and recommend mitigation strategies.
• Strong collaboration and stakeholder management skills.

Marketplace Domain Expertise

• Deep understanding of Health Insurance Exchange (HIX) operations.
• Experience with:
  • State-Based Marketplaces (SBM)
  • State-Based Marketplace using the Federal Platform (SBM-FP)
• Strong knowledge of:
  • ACA Marketplace policies
  • Eligibility and enrollment processes
  • Plan management
  • Account transfers
  • Redeterminations
  • Consumer assistance
• Experience integrating Marketplace operations with Medicaid systems.
• Understanding of:
  • MAGI eligibility rules
  • Coordinated eligibility
  • Data exchange processes
• Knowledge of Marketplace interactions involving:
  • Insurance carriers
  • Enrollment partners
  • Assister programs
  • Call center operations
• Ability to translate Marketplace policies, CMS guidance, and regulatory requirements into business rules and UAT scenarios.

Preferred Qualifications

• Experience working in a Health Insurance Exchange (HIX) environment.
• Experience supporting State-Based Marketplace implementations or migrations.
• Advanced understanding of:
  • Marketplace eligibility
  • Enrollment workflows
  • Plan management
  • Account transfers
  • Consumer assistance
• Experience integrating Marketplace systems with Medicaid eligibility platforms.
• Knowledge of ACA regulations, including:
  • APTC
  • CSR
  • Special Enrollment Periods (SEP)
  • Federal reporting and compliance
• Experience with test automation tools such as:
  • Selenium
  • Playwright
  • Robot Framework
• Experience managing complex UAT test data.
• Background in Business Analysis or broader Quality Assurance disciplines.

Education

• Bachelor's degree in:
  • Computer Science
  • Information Technology
  • Business
  • Related field
• 10+ years of experience as a Business Subject Matter Expert, Business Analyst, QA/UAT Lead, or related technical/functional role.