TalentJoin
Website:
talentjoin.com
Job details:
We're Hiring: QE Engineers / Analysts (Healthcare Payer – Encounter)
Location: Pune, Bangalore, Chennai, Hyderabad
Experience: 5–8 Years (Mid-Level) | 9+ Years (Senior)
Employment Type: Full-Time
We're looking for experienced Healthcare QA Engineers / Analysts with strong expertise in Encounter Data Processing, X12 EDI, and Facets to join our growing healthcare practice.
Required Skills
Facets (Mandatory) – Claims module expertise & Facets-to-Encounter validation
X12 EDI Transactions – 837P, 837I, 837D 277CA, 999 & TA1 acknowledgement validation
Encounter submissions for Medicaid, Medicare Advantage, TRICARE & Marketplace
SQL for encounter data validation & reconciliation (or equivalent EDI validation tool)
TOSCA or Robot Framework automation
Healthcare payer domain with CMS encounter submission rules & state companion guides
Key Responsibilities
Mid-Level (5–8 Years)
Design and execute encounter lifecycle test scenarios.
Develop and maintain TOSCA/Robot Framework automation.
Perform reconciliation between source claims and submitted encounters.
Validate 837, 277CA, 999, and TA1 transactions.
Senior Level (9+ Years)
Lead offshore encounter testing across multiple Lines of Business (LOBs).
Drive automation strategy and mentor QA analysts.
Perform RCA for CMS/state edit failures and encounter rejections.
Ensure compliance with payer and regulatory requirements.
Interested candidates, please share your updated resume to: Srikanth@talentjoin.com
If you're experienced in Healthcare Payer Testing, Facets, EDI/X12, and Encounter Validation, we'd love to connect!
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Click on Apply to know more.