About the Role"

Quality Assurance Engineer - Healthcare Interoperability.

"Responsibilities"

- Validate FHIR-based APIs and workflows for compliance with FHIR R4 and implementation guides.
- Design and execute interoperability test scenarios and test cases across payer–provider systems.
- Perform end-to-end testing of prior authorization and utilization management workflows.
- Validate data quality, terminology bindings, and profile conformance.
- Collaborate with product, engineering, and business teams within a US healthcare payer workplace.
- Ensure adherence to regulatory requirements and improve first-pass success rates.
- Design and develop all QA artifacts.

"Required Skills"
- Strong knowledge of FHIR standard (R4), REST APIs, and healthcare interoperability (mandatory).
- Experience with Utilization Management / Prior Authorization workflows/EDI X12 278 (highly desirable).
- Familiarity with US healthcare payer systems (highly desirable).
- Expertise in API testing and tools such as Postman, SOAP UI, etc. (preferred).

"Desirable Skills"
- N/A

"Education Qualification"
- N/A.

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