Job Title: Senior EDI SDET - Encounter data processing (Tosca / Playwright)

Experience:6+ Years
Location: Pune, Hyderabad, Chennai, Vadodara and Bengaluru
Shift:2 PM - 11 PM

Job Description:

Healthcare Domain - Encounter data processing X12 837 submissions to Medicaid/Medicare Advantage/TRICARE/Marketplace, acknowledgements, reconciliation, CMS & state companion guides

Core Skills Needed - Facets (REQUIRED), X12 EDI (837P/I/D, 277CA, 999/TA1), SQL, EDI validation tooling (Edifecs), TOSCA/Robot Framework

Core technical & domain requirements:
- Facets REQUIRED: claims module familiarity (encounters are derived from Facets claims data); Facets-to-encounter data validation
- X12 EDI knowledge: 837P, 837I, 837D (Skilled, Institutional, Dental) transaction structure, loops, segments
- 277CA (Claim Acknowledgement) and 999/TA1 validation
- Encounter submission & acceptance rules Medicaid, Medicare Advantage, TRICARE, Marketplace




- Edifecs or equivalent EDI validation tooling
- SQL for encounter data validation (claim header, detail, member eligibility cross-checks)
- TOSCA or Robot Framework test automation
- Healthcare payer domain: CMS encounter submission rules, state-specific companion guide

Responsibilities:
- Independently design encounter lifecycle scenarios across 837/277CA/999/TA1.
- Build and maintain TOSCA/Robot Framework automation for encounter regression.
- Lead reconciliation between source claims and submitted encounters.
- Own encounter test design and submission-edit validation across LOBs.
- Drive automation coverage and mentor analysts on EDI validation.
- Conduct RCA on rejections and state/CMS edit failures.

📌 Sdet Engineer- Encounter Data Processing (Bengaluru)
🏢 Ascendion Engineering
📍 Bengaluru