Hiring Now: SDET Engineer – Provider Data Management (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 High-Impact Healthcare Transformation Program!
We are seeking an experienced SDET Engineer – Provider Data Management with strong expertise in Facets, Healthcare EDI Transactions, Provider Data Validation, SQL, and Test Automation. The ideal candidate will play a critical role in ensuring provider directory accuracy, credentialing workflows, eligibility validation, prior authorization processing, and provider payment reconciliation across multiple Lines of Business (LOBs).
Key Skills Required
Facets (Mandatory)
Provider, Contract & Network Module Testing
X12 EDI Transactions
- 278 (Prior Authorization)
- 270/271 (Eligibility & Perks Inquiry/Response)
- 835 (Remittance Advice)
Provider Data Validation (NPI, TIN, Taxonomy Codes)
SQL Data Validation & Reconciliation
TOSCA Automation Testing
Azure DevOps (ADO)
Healthcare Payer Domain Expertise
Healthcare Domain Experience Required
Medicaid
Medicare Advantage (MA)
Duals / MMP
TRICARE
Marketplace Plans
Core Functional Expertise
Provider Data Management
NPI Validation
TIN Validation
Taxonomy Code Validation
Provider Specialty Validation
Address & Demographic Verification
Network Status Validation
Provider Lifecycle Testing
Provider Enrollment
Credentialing Workflows
New Provider Onboarding
Provider Updates & Changes
Provider Terminations
Provider Reactivations
Provider Directory Accuracy
Network Tier Validation
Plan-Level Provider Validation
Accepting New Patients Indicators
Directory Compliance Testing
Claims & Payment Validation
835 Remittance Processing
Provider Payment Reconciliation
Claims-to-Provider Cross Validation
Key Responsibilities
Design and execute provider data management, credentialing, and directory accuracy test scenarios
Validate provider enrollment, credentialing, and lifecycle workflows
Test and automate X12 EDI transactions:
- 278 Prior Authorization
- 270/271 Eligibility & Benefits
- 835 Remittance Processing
Build and maintain robust automation frameworks using TOSCA
Perform provider data cross-validation using SQL across:
- Provider Master Data
- Claims Systems
- Eligibility Platforms
- Provider Directories
Validate provider payment linkage and support feature-level triage activities
Lead offshore provider testing initiatives across multiple Lines of Business
Conduct Root Cause Analysis (RCA) for:
- Directory Accuracy Issues
- Network Status Discrepancies
- Authorization Failures
- Credentialing Defects
Drive automation coverage, quality improvements, and mentor junior QA analysts
Why Join?
Work on enterprise-scale Healthcare Provider Management systems
Exposure to Medicaid, Medicare Advantage, Duals, TRICARE & Marketplace programs
Opportunity to lead automation and quality engineering initiatives
Collaborative global team environment
Hybrid work model with long-term growth opportunities
Interested candidates can share their updated resume at:
Email:
[email protected]
WhatsApp: +91 (phone hidden)
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📌 SDET Engineer – Provider Data Management (Bengaluru)
🏢 Jobskey Consultancy
📍 Bengaluru