We are seeking an experienced Senior QA Engineer with 8+ years of hands-on experience in Quality Assurance and strong domain expertise in the Healthcare / Health Insurance industry . The ideal candidate should have deep knowledge of healthcare workflows, claims processing, enrollment, EDI transactions, and regulatory compliance.
Required Skills & Experience:8+ years of experience in Software Testing / Quality Assurance
Strong domain knowledge in Healthcare / Health Insurance
Experience with:
Claims Processing (Professional, Institutional, Dental)
Member Enrollment & Eligibility
Benefits & Billing
Provider Data Management
Good understanding of HIPAA compliance
Experience with EDI Transactions (834, 835, 837, 270/271, 276/277)
Hands-on experience in:
Manual Testing
Functional, Regression, Integration & UAT Testing
API Testing (Postman / SOAP UI)
SQL for backend validation
Experience with test management tools (JIRA, ALM, Azure DevOps, etc.)
Knowledge of Automation tools (Selenium / Cypress / Rest Assured) is a plus
Experience working in Agile/Scrum environment
Analyze business requirements and create detailed test plans and test cases
Validate healthcare workflows including claims adjudication and enrollment processes
Perform end-to-end system testing and integration testing
Validate EDI transactions and healthcare data formats
Ensure compliance with healthcare regulations and HIPAA standards
Work closely with Business Analysts, Developers, and Product Owners
Track defects and ensure timely resolution
Support production validation and post-release testing
Experience with Medicare / Medicaid programs
Exposure to CMS guidelines
Experience with Facets, QNXT, or other healthcare core systems
Automation experience preferred