Senior Business Subject Matter Expert – User Acceptance Testing (UAT) & Marketplace Compliance
Lead UAT processes for a Health Insurance Exchange (HIX) system, ensuring compliance with ACA regulations, state policies, and federal guidelines. Bridge business requirements with technical testing, validate system behavior, and mentor cross-functional teams. Requires deep expertise in SBM/SBMFP operations, Medicaid integration, and regulatory testing frameworks.
Key Highlights
Key Responsibilities
Technical Skills Required
Benefits & Perks
Nice to Have
Job Description
Job Title: Business Subject Matter Expert
Duration: 8+ month of contract
Location: Salem, Oregon 97301 (Fully Remote)
Contractor’s Key Person shall:
- 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 adhoc 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 endtoend business perspective.
- Develop user acceptance test cases,
- Execute testing
- Ensure that system outputs align with Marketplace policy, operational workflows, and federal and state regulations.
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Required Skills and 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.).
- Strong analytical and problemsolving skills.
- Excellent communication skills for both technical and nontechnical audiences.
- Ability to prioritize work, manage time effectively, and operate with limited supervision.
- Understanding of accessibility standards (WCAG), security testing fundamentals, and performance considerations.
- Ability to identify risks and propose mitigation strategies.
- Strong interpersonal and collaborative skills.
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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, redeterminations, 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, assister 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.
In addition, the ideal candidate will have skills and experience in:
- Experience working in a Health Insurance Exchange (HIX) environment, including experience within Oregon’s current StateBased Marketplace using the Federal Platform (SBMFP) or experience working in a fully StateBased Marketplace (SBM).
- Advanced understanding of Marketplace operations including eligibility, enrollment workflows, plan management, account transfers, redeterminations, 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.
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