Remote: Hybrid
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 & Benefits 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 Prospect 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:
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📌 SDET Engineer – Provider Data Management (HealthcareDomain) (Karnataka)
🏢 Jobskey Consultancy
📍 Karnataka