{"id":2575869,"url":"https://alion.io/job/conduent-manager-it-testing-claims-domain","title":"Manager, IT Testing (Claims domain)","company":{"id":1772445,"name":"Conduent","domain":"conduent.com","url":"https://alion.io/company/conduent-com","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Oracle","truth_index":{"grade":"B","score":75,"open_postings":21,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":24,"computed_at":"2026-10-17T05:46:00Z"}},"role":"Management","role_family":"Management","seniority":"lead","employment_type":null,"work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"inferred_payroll_markers","remote_working_hours":null,"hiring_geo_confidence":"inferred","locations":[],"countries":[],"hiring_countries":["US"],"hiring_countries_total":1,"salary":{"min":97790,"max":127000,"currency":"USD","period":"year","gross":null,"usd_annual":127000},"salary_estimate":null,"experience_years_min":10,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Postman","optional":false},{"name":"SQL","optional":false}],"status":"live","first_seen_at":"2026-09-25T12:43:27Z","employer_posted_date":"2026-09-25","last_verified_at":"2026-10-18T08:58:15Z","board_verified":true,"closed_at":null,"days_open":23,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":23},"description":"Claims Domain Test Manager:\nSummary:\nPlay the role of Claims Domain test manager for MMIS health care projects. Drive the test strategy and process, domain knowledge, perform analysis of business requirements, design and develop test plans, ensure quality process, coordinates with customers on delivery and deployments. Works in team environment and provides testing guidance throughout the entire life cycle. Responsible to meet customer expectations, troubleshoot problems in the application and assisting customers in implementation decisions.\nRole & Responsibilities:\nShould have strong health care domain experience and should have good knowledge of Medicaid and Medicare.\nShould have hands-on experience on claims processing and Adjudication processes.\nMust have good experience in Reference code/data sets required in Claims adjudication.\n\nMust have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems.\n\nShould be able to run queries and perform basic system analysis, RCA etc.,\n\nShould work closely with the client and development team during the stages of development, and conduct demos at completion of milestones, track and close feedback from such demos\n\nMust have excellent written and spoken communication skills. Should be able to multitask between internal team and clients based on priority tasks\n\nWork Closely with Dev, architecture and Design teams to define the GUI view and platform requirements, which is the foundation of the product.\nIn depth understanding of Claims and Claims lifecycle:\n\nMember\n\nProvider\n\nClaim submission - Paper and EDI X12\n\nAdjudication\n\nPayment Cycle (Finance)\n\nReporting\n\nClaim Types:\n\nProfessional\n\nDental\n\nInstitutional\n\nPharmacy\n\nEncounters and Capitation\n\nClaim Formats:\n\nEDI X12 formats like 837P/I/D\n\nX12 formats 835, 834, 270/271, 276/277\n\nClaim System:\n\nFamiliarity with systems like CMdS, GHS, Facets and etc\n\nTesting knowledge and E2E Testing:\nValidate the entire flow from claim intake to payment and reporting.\n\nInterface testing - Test integration points between systems\n\nDesign test case based on business rules, coverage policies, and system configurations.\n\nFamiliarity with test management tools like ADO, JIRA,\n\nInterface/API testing tools like Postman\n\nTechnical Skills\nMinimum of 10+ years of experience in health care experience especially in MMIS domain.\n\nSQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).\n\nEDI Tools: Validating X12 files.\n\nInterface Testing: Understanding how data flows between systems and formats and use tools like postman\n\nCapability to think out-of-the-box to create new solutions as needed.\n\nAbility to validate Test scenarios and test plans, test data.\n\nShould be able to Review requirements, documentation and create Requirements Traceability matrix (RTM)\n\nShould have excellent communication (written and spoken) skills to engage with different stake holders like QA/dev team, clients, end users of Clients and Business Units.\n\nAbility to assess current functionality available in a product vis a vis market trends, regulatory requirements to be implemented in future version of the product.\n\nAbility to drive and share the requirements with Technical and Architects regarding product features to be implemented.\n\nTest Planning & Reporting: Create test plans, test summary reports, and traceability matrices.\n\nCommunication: Collaborate with cross-functional teams including developers, SME’s and BA’s\n\nPay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $97,790 - $127,000.","description_format":"text","description_chars":4253,"description_truncated":false,"requirements":{"experience_years_min":10,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Health insurance","Insurance coverage","Retirement plans"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Payroll Services","Business Process Outsourcing (BPO)"],"lifecycle":[{"event":"open","at":"2026-10-15T00:09:36Z"}],"visa":[],"liveness":{"score":41,"band":"fade","label":"Fading","p_open":1,"p_active":0.55,"p_room":0.75,"age_days":21,"expected_fill_days":24,"reasons":["conf:1","stale_co","velocity","win:late","comp:brand"],"computed_at":"2026-10-17T05:46:00Z"},"pay":{"stated_usd_annual":127000,"is_top_pay":true},"html_url":"https://alion.io/job/conduent-manager-it-testing-claims-domain","json_url":"https://alion.io/job/conduent-manager-it-testing-claims-domain.json","meta":{"generated_at":"2026-10-18T19:50:01Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":23883,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-19T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":1772445},"rest":"https://alion.io/mcp/rest/get_company?id=1772445"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fconduent-manager-it-testing-claims-domain"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fconduent-manager-it-testing-claims-domain"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fconduent-manager-it-testing-claims-domain"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/conduent-manager-it-testing-claims-domain\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fconduent-manager-it-testing-claims-domain"}]}