Hiring Now: SDET Engineer – Member Enrollment & Eligibility (Healthcare Domain) Locations: Bangalore | Chennai | Hyderabad | Pune | Vadodara Work Mode: Hybrid (2-3 Days Work from Office) Shift Timing: 2:00 PM – 11:00 PM IST Experience Required: 8+ Years Open Positions: 1 Notice Period: Immediate Joiners or Candidates Serving Notice Period (Must Join by 15th July) Join a Leading Healthcare Transformation Program! We are seeking a highly skilled SDET Engineer – Member Enrollment & Eligibility with deep expertise in Facets, Healthcare EDI Transactions, Enrollment Processing, Eligibility Validation, and Test Automation . This role is ideal for professionals experienced in managing complex enrollment ecosystems across Medicaid, Medicare Advantage, Duals, TRICARE, and Marketplace programs. Key Skills Required Facets (Mandatory) – Membership & Enrollment Modules X12 EDI Transactions (834, 820, 270/271) Enrollment Reconciliation & Validation SQL Data Validation & Analysis TOSCA Automation Testing Azure DevOps (ADO) Healthcare Payer Domain Expertise Healthcare Domain Experience Medicaid Medicare Advantage (MA) Duals / MMP Programs TRICARE Marketplace Plans Core Functional Expertise Enrollment & Membership Management Member Enrollment Processing Subscriber Configuration Validation Member Add / Change / Term Scenarios Dependent Enrollment Validation Dual Enrollment Scenarios X12 EDI Expertise 834 Benefit Enrollment & Maintenance Transactions 820 Premium Payment Validation 270 Eligibility Inquiry 271 Eligibility Response Validation Eligibility & Reconciliation Eligibility Cross-Validation Enrollment Reconciliation Across Systems Effective Date Validation Plan Code Verification Line of Business (LOB)



Validation Healthcare-Specific Processes Retroactive Enrollment Adjustments Deeming Logic Validation Medicaid & Dual Eligibility Rules Premium Payment Linkage Validation Key Responsibilities Design and execute comprehensive enrollment and eligibility test scenarios, including: Recent Enrollments Member Changes Terminations Retroactive Adjustments Dual Enrollment Cases Validate end-to-end 834 enrollment transactions and Facets integration workflows Lead 820 premium payment linkage validation and reconciliation testing Perform 270/271 eligibility correlation testing across integrated healthcare systems Conduct enrollment reconciliation between: 834 Source Systems Enrollment Databases Claims Platforms Eligibility Systems Build and maintain automation frameworks using TOSCA or equivalent tools Validate member-level data using SQL, including: Effective Dates Plan Codes Coverage Periods LOB Flags Eligibility Indicators Own offshore enrollment testing initiatives across multiple healthcare programs Drive automation coverage, quality improvements, and mentor QA analysts Conduct Root Cause Analysis (RCA) for: Enrollment Discrepancies Eligibility Issues Reconciliation Failures Premium Payment Linkage Errors Preferred Qualifications Strong Healthcare Payer Domain Experience Expertise in Enrollment & Eligibility Systems Experience with Medicare, Medicaid, and Marketplace Programs Knowledge of Regulatory Enrollment Compliance Requirements Why Join? Work on large-scale Healthcare Enrollment & Eligibility platforms Exposure to complex payer ecosystems and regulatory programs Chance to lead automation and quality engineering initiatives Collaborate with highly skilled healthcare technology teams Hybrid work model with excellent career growth opportunities Interested candidates can share their updated resume at: Email: [email protected] WhatsApp: +91 (phone hidden) #Hiring #SDET #HealthcareIT #HealthcareTesting #EnrollmentTesting #EligibilityTesting #Facets #EDI #X12 #834 #820 #270271 #TOSCA #SQL #AzureDevOps #Medicaid #MedicareAdvantage #Duals #MMP #TRICARE #Marketplace #AutomationTesting #QualityEngineering #HealthcareJobs #BangaloreJobs #HyderabadJobs #ChennaiJobs #PuneJobs #VadodaraJobs #Jobskey

📌 SDET Engineer – Member Enrollment Eligibility (HealthcareDomain) (Karnataka)
🏢 Jobskey Consultancy
📍 Karnataka