Lyric is the trusted leader in healthcare decision intelligence. Built on more than 35 years of proven results, Lyric combines responsible AI with clinical, payment, regulatory, and policy expertise to deliver transparent, auditable insights in milliseconds across real-time claims workflows. Lyric augments human decision-making so health plans can make faster, more accurate payments while maintaining full control. Today, Lyric supports 200 million lives, with nine of the top 10 U.S. health plans relying on its platform to reduce waste, improve efficiency, and support accurate payments.
Essential Job Responsibilities & Key Performance Outcomes
Leadership & Strategy
- Lead QA efforts for new client implementations, system upgrades, and key product initiatives, ensuring timely and high-quality delivery aligned with project objectives and client expectations
- Define and execute QA strategies and testing approaches for assigned projects, ensuring alignment with organizational goals, delivery timelines, and quality standards
- Serve as a hands-on people leader and mentor, providing day-to-day guidance, coaching, and performance feedback to QA Analysts, Senior Analysts, and Staff members to support their growth and effectiveness
- Plan, coordinate, and manage QA activities across multiple concurrent projects, including task prioritization, workload balancing, and ensuring optimal team utilization
- Monitor project progress and proactively identify risks, dependencies, and potential delivery impacts, implementing mitigation strategies as needed
- Represent the QA function in cross-functional and stakeholder meetings, clearly communicating testing progress, quality status, risks, and key metrics
- Act as the primary QA point of contact for assigned projects, ensuring alignment between QA deliverables and broader project goals
- Drive accountability within the team to ensure adherence to QA processes, timelines, and quality expectations
Test Planning and Execution
- Oversee the creation and execution of comprehensive test plans for all levels of project complexity.
- Review and validate test designs, ensuring complete coverage of functional, regression, and integration requirements.
- Lead defect triage sessions, providing root cause analysis and facilitating resolution in coordination with cross-functional teams.
- Ensure consistency in QA processes, documentation, and test artifact management across teams.
- Support and guide the implementation and maintenance of automation testing frameworks.
Quality Governance and Continuous Improvement
- Establish, maintain, and refine QA best practices, standards, and procedures to ensure consistent delivery quality.
- Identify and implement opportunities for process optimization, test efficiency, and defect prevention.
- Develop key performance indicators (KPIs) and quality metrics to measure success and drive accountability.
- Proactively identify risks, gaps, and inconsistencies in testing and provide actionable recommendations.
- Foster a culture of continuous improvement, innovation, and accountability within the QA organization.
Cross-Functional Collaboration
- Partner closely with Product, Development, Business Analysis, and Project Management teams to ensure alignment on requirements, priorities, and testing scope.
- Provide insights and guidance during requirement and design sessions to enhance product quality and mitigate risk.
- Collaborate across teams to ensure timely resolution of quality-related issues and seamless delivery of releases.
Required Skills & Experience
- Bachelor’s degree in Computer Science, Engineering, or a related field (or equivalent professional experience).
- 10+ years of progressive experience in Software Quality Assurance, including both manual and automated testing.
- Proven experience leading QA teams and managing multiple concurrent projects.
- Expertise in functional, regression, integration, and performance testing.
- Hands-on experience with test design, defect management, and automation frameworks.
- In-depth understanding of U.S. healthcare claims systems, workflows, and adjudication processes.
- Experience maintaining and troubleshooting test environments running on Windows platforms.
- Strong knowledge of database validation using Oracle or other transactional databases.
- Familiarity with QA processes, methodologies (e.g., Agile, Waterfall), and test tools such as Jira, Selenium, Postman, or ALM.
- Proficiency in XML, HTML, JavaScript, VB, C#, and Python scripting.
- Strong understanding of APIs, integrations, and test data validation.
- Experience with automation and performance testing tools preferred.
- Excellent analytical, problem-solving, and decision-making abilities.
- Demonstrated ability to manage, mentor, and develop diverse QA teams.
- Effective communicator with the ability to influence and collaborate across organizational levels.
- Skilled in identifying team strengths, delegating responsibilities, and fostering a high-performance culture.
Preferred Qualifications
- Certifications: ISTQB, CAST, SMSQ, or AWS Cloud Practitioner.
- Prior experience in the Healthcare IT industry.
- Previous experience managing people or leading QA teams.
Skills Required
- Bachelor's degree in Computer Science, Engineering, or a related field, or equivalent professional experience
- 10+ years of progressive software quality assurance experience, including manual and automated testing
- Experience leading QA teams and managing multiple concurrent projects
- Expertise in functional, regression, integration, and performance testing
- Hands-on experience with test design, defect management, and automation frameworks
- In-depth understanding of U.S. healthcare claims systems, workflows, and adjudication processes
- Experience maintaining and troubleshooting test environments on Windows platforms
- Knowledge of database validation using Oracle or other transactional databases
- Familiarity with Agile and Waterfall QA methodologies
- Experience with Jira, Selenium, Postman, or ALM
- Proficiency in XML, HTML, JavaScript, VB, C#, and Python scripting
- Understanding of APIs, integrations, and test data validation
- Strong analytical, problem-solving, and decision-making abilities
- Ability to manage, mentor, and develop diverse QA teams
- Strong communication, collaboration, delegation, and stakeholder-influence skills
- ISTQB, CAST, SMSQ, or AWS Cloud Practitioner certification
- Prior healthcare IT industry experience
- Previous people-management or QA team leadership experience
What We Do
Welcome. Let us help bring your health plan's payment accuracy and savings into the next era of savings and cost reduction. Learn more by visiting Lyric.AI Welcome to Lyric. Building on the legacy of ClaimsXten, we bring over 30 years of expertise to deliver unmatched savings—more than $14 billion annually—to our valued clients, including 9 of the top 10 health payers nationwide. Our cutting-edge solutions streamline complex claims processes, ensuring precision and efficiency for over 185 million lives under our care. Recognized by KLAS for our partnership excellence and value, we lead with top customer satisfaction scores and an A+ recommendation rate. Apart from our market-leading pre-pay claim editing services, Lyric is at the forefront of integrating advanced technologies to drive greater savings and administrative cost savings through the payment integrity value chain. This includes strategic partnerships with leaders in the areas of genetic testing claims accuracy, coordination of benefits, and more. Whether you are a current valued customer or new to Lyric, we are investing in helping health plans simplify the business of care. Visit us at Lyric.AI








