">SDET Engineer - Provider data management

9-14 Years Bengaluru

- Factes
- API Testing
- CRM testing
- FRIR
- SQL

Healthcare Domain - Provider data management - directory accuracy, credentialing, prior authorization (278), eligibility (270/271), 835 payment linkage across Medicaid / MA / Duals / TRICARE / Marketplace Core Skills Needed - Facets (REQUIRED), X12 EDI (278, 270/271, 835), provider data (NPI/TIN/taxonomy), SQL, TOSCA, ADO

Core technical domain requirements

Facets

Facets - REQUIRED: provider, contract, and network module testing and configuration validation in Facets

X12 EDI: 278 (Prior Authorization request response), 270/271 (Eligibility Benefit inquiry/response)

Provider demographic data validation - NPI, TIN, taxonomy codes, specialty, address, network status

Provider enrollment credentialing workflow testing (add, update, term, reactivation)

835 remittance linkage to provider payment validation

Provider directory accuracy testing - plan-level, network-tier, accepting-current-patients flags





SQL for provider data cross-validation (provider master claims eligibility directory)

TOSCA or similar automation tools

LOB coverage: Medicaid, Medicare Advantage, Duals/MMP, TRICARE, Marketplace

Responsibilities

Design provider data, directory-accuracy, and credentialing-workflow scenarios.

Build/maintain automation; test 278 and 270/271 transactions.

Validate 835 payment linkage and lead feature-level triage

Own offshore provider test design across LOBs.

Drive automation coverage and mentor analysts.

Conduct RCA on directory/network and authorization discrepancies.

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

📌 SDET Engineer - Provider data management (Bengaluru)
🏢 Quarks Technosoft
📍 Bengaluru