QA Engineer

Role: QA Analyst Experience: 1 to 4 Years Work Mode: WFO / Hybrid /Remote if applicable Immediate Joiners Preferred Responsibilities: Develop and execute test plans, test cases, and test scripts for healthcare claims processing systems. Perform functional, integration, regression, and end-to-end testing of claims applications. Verify the accuracy of claims data, including patient demographics, medical codes (CPT, ICD-10), and payment information. Test claims adjudication logic, ensuring compliance with payer rules and regulations. Validate electronic data interchange (EDI) transactions related to claims processing (e.g., 837, 835). Identify, document, and track software defects using bug tracking systems. Collaborate with developers to resolve defects and ensure timely resolution. Perform root cause analysis of defects to prevent recurrence. Work closely with business analysts, developers, and project managers to ensure quality throughout the software development lifecycle. Participate in requirements review and design sessions. Required Skills and Qualifications: Bachelor's degree in a related field (e.g., Computer Science, Healthcare Administration). Experience - 2 - 8 years of testing exp. 3-4 of relevant experience working in US Healthcare Claims projects Techincal skill - Ability to execute SQL queries for data verification fluent in excel formulas & macros Proven experience in quality assurance testing, preferably in the healthcare industry. Strong understanding of US healthcare payer systems and claims adjudication processes. Knowledge of medical coding (CPT, ICD-10) and healthcare terminology. Familiarity with EDI transactions (837, 835). Experience with test management and bug tracking tools (e.g., Jira, TestRail). Excellent analytical and problem-solving skills. Strong attention to detail and accuracy. Excellent communication and interpersonal skills. Preferred: AHIP AHM 250 certification. What We Offer: - We offer a market-leading salary along with a comprehensive benefits package to support your well-being. -Enjoy a hybrid or remote work setup that prioritizes work-life balance and personal well-being. -We invest in your career through continuous learning and internal growth opportunities. -Be part of a dynamic, inclusive, and vibrant workplace where your contributions are recognized and rewarded. -We believe in straightforward policies, open communication, and a supportive work environment where everyone thrives.

Predigle, an EsperGroup company, focuses on building disruptive technology platforms to transform daily business operations. Predigle has expanded rapidly to offer various products and services. Predigle Intelligence (Pi) is a comprehensive portable AI platform that offers a low-code/no-code AI design solution for solving business problems.