Role Description
This role will be responsible for validating provider-facing web applications, EDI transactions, prior authorization workflows, eligibility verification, claims inquiries, and provider data management processes.
The ideal candidate will bring robust Healthcare Payer testing experience with expertise in web application testing, Provider Portal functionality, Provider Portal modernization, Availity integrations, EDI (HIPAA/X12) transactions, API validation, backend data verification, and Azure-based application testing. This role requires close collaboration with business, operations, and development teams to ensure high-quality releases supporting provider experience and operational excellence.
Key Responsibilities
Perform functional, integration, system, regression, smoke, and user acceptance testing for Provider Portal applications.
Validate end-to-end provider workflows including provider registration, eligibility verification, claims status inquiries, prior authorization requests, referrals, and provider maintenance.
Execute comprehensive web application testing, including UI validation, responsive testing, browser compatibility testing, and workflow validation.
Support testing initiatives for Provider Portal modernization, ensuring seamless functionality across up-to-date provider-facing applications and digital user experiences.
Test provider integrations through Availity and other provider connectivity solutions.
Validate EDI (HIPAA/X12) transactions including file processing, business rule validations, acknowledgements, error handling, and reconciliation.
Perform API and interface testing to validate integrations between Provider Portal, Core Administration Systems, and downstream applications.
Perform testing of applications and services deployed within the Microsoft Azure ecosystem, validating cloud-hosted applications, APIs, integrations, and related platform services.
Execute SQL-based backend data validation and data reconciliation testi
📌 Lead I Bengaluru
🏢 UST
📍 Bengaluru