Lead Quality Assurance Engineer

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. 

With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

The QA Lead will oversee all quality assurance and testing activities for a case management system supporting the Centers for Medicare & Medicaid Services. This role is responsible for defining and executing a comprehensive testing strategy that ensures system quality, regulatory compliance, and high performance across all releases. The QA Lead serves as the authority on quality, working across business, technical, and data teams to ensure that all system components meet CMS standards and stakeholder expectations. 

• Develop and implement the overall QA strategy, test approach, and quality standards 
• Establish testing frameworks, methodologies, and governance processes 
• Define entry/exit criteria for all testing phases 
• Lead and manage QA team members, including offshore/onshore resources 
• Develop and maintain master test plan, test strategy documents and release-level test plans 
• Oversee execution of system functional, integration testing, regression and User Acceptance Testing (UAT) support 
• Ensure validation of end-to-end case management workflows 
• Lead testing of data integrations and transformations  
• Validate data accuracy across systems using standards such as FHIR and HL7  
• Ensure integrity of data flows (e.g., CDA to FHIR transformations)  
• Collaborate with data teams to validate reporting outputs 
• Establish and manage defect lifecycle processes 
• Lead defect triage sessions with stakeholders 
• Track and report key quality metrics 
• Support security testing and validation activities  
• Contribute to audit readiness and compliance documentation  
• Integrate QA processes into Agile delivery model  
• Participate in sprint planning, daily standups and sprint reviews 
• Ensure continuous testing and early defect detection  
• Serve as the primary QA point of contact for CMS stakeholders  
• Provide regular updates on quality status, risks, and issues  
• Present test results and readiness assessments for releases  
• Data validation and integration testing 
• Strong leadership and team management 

Qualifications 

• Bachelor’s degree in computer science, IT, or related field 
• 8–12+ years of experience in software testing and QA 
• 3+ years in a QA Lead or Test Manager role 
• Experience supporting federal healthcare programs (CMS preferred) 
• Strong knowledge of SDLC and Software Testing Life Cycle (STLC)

Preferred Qualifications

• Experience working with Centers for Medicare & Medicaid Services programs 
• Experience with healthcare data formats (CDA, HL7, FHIR) 
• ISTQB certifications 
• Agile certifications (e.g., SAFe, Scrum) certifications 

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.