Subject Matter Expert

•    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.

·         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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Working Conditions:

•          Remote setting following agency policy.
•          Workload may increase during release cycles and major project milestones.
•          Requires coordination with crossfunctional teams across OHA, OIS, carriers, assister networks, contractors, and vendor partners.
•          May require occasional extended hours during critical production cycles.