إرفاق
وصف الوظيفة
Role Purpose:
Responsible for leading and executing the full testing lifecycle for all health insurance, digital, and NPHIES related technology initiatives. This role ensures that every system, integration, and transaction—spanning eligibility, claims, prior authorization, provider interactions, coding standards, and data exchange meets functional accuracy, performance, security, and regulatory compliance expectations. The Senior Manager oversees hands on test planning, test execution, defect management, automation development, non functional validation, and end to end quality assurance to guarantee reliable, compliant, and high performing solutions.
This role requires deep expertise in health insurance operations and NPHIES workflows, coupled with strong technical testing capabilities. The Senior Manager drives quality execution across manual testing, automation, performance testing, and data validation while embedding structured, repeatable testing practices across teams. Through rigorous test execution, continuous improvement, and strict adherence to health interoperability standards.
Key Accountabilities:
1-QA Planning & Execution:
• Develop test plans, test scenarios, and test scripts for all releases.
• Lead hands on execution of SIT, functional, system integration, and regression testing.
• Ensure readiness of test environments, test data, and entry/exit criteria.
• Manage defect triage, reporting, and closure.
2-Health Insurance & NPHIES Testing:
• Conduct hands on testing for eligibility, claims, prior authorization, membership, benefits, provider network, and policy modules.
• Execute testing for NPHIES transactions: Eligibility, eClaims, eAuthorizations, Clinical Coding, Payments, and Attachments.
• Validate business rules, product configurations, and actuarial logic.
• Execute end-to-end process testing across TPA and insurance systems.
• Ensure compliance with NHIC, CCHI, NPHIES standards.
• Conduct interoperability and integration testing with external stakeholders.
• Validate coding standards: ICD 10 AM, DRG etc.
3-Test Automation Execution:
• Develop automated test scripts for UI, API, and NPHIES flows.
• Execute automated regression cycles and maintain automation suites.
• Integrate automation into CI/CD pipelines for continuous testing.
4-Non Functional Testing:
• Conduct load, stress and volume tests for insurance and NPHIES APIs.
• Validate API performance and stability under peak loads.
• Execute basic security testing (vulnerabilities, access validation, API security).
5-Reporting & Metrics:
• Prepare daily/weekly test reports, dashboards, and traceability matrices.
• Publish quality status, defect summaries, and readiness reports to stakeholders.
• Ensure test documentation, evidence, and audit trails are maintained.
المهارات
- Extensive hands on experience in functional, integration, regression, UAT, E2E testing
- Strong domain expertise in health insurance, covering:
- Eligibility
- Claims (Submission, Adjudication, Rejection workflows)
- Prior Authorization
- Provider Network
- Membership & Benefits
- Proven experience executing NPHIES testing (Eligibility, eClaims, eAuthorizations, Clinical Coding transactions)
- Hands on validation of coding standards: ICD 10 AM,
- Strong experience in API testing using Postman, SoapUI
- Experience executing automation testing (UI/API/Mobile App)
- Experience conducting performance, load, and volume testing
- Strong stakeholder management and cross functional coordination skills
- Excellent defect management, test documentation, and reporting capabilities
- Ability to interpret regulatory requirements from NPHIES, NHIC, and CCHI
- Strong analytical, troubleshooting, and problem solving skills
- Ability to work in fast paced environments with strict deadlines
المؤهلات العلمية
o Bachelor’s degree in Computer Science, Software Engineering, Information Technology, or related fi
تفاصيل الوظيفة
المرشح المفضل
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.
