Job Summary

SDET Engineer - Encounter Data Processing

9-13 Years

Bengaluru

Core Skills

- SDET
- Facets
- TOSCA/Robot Framework
- SQL
- X12EDI

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.

Requirements

- Facets (Required): claims module familiarity (encounters are derived from Facets claims data); Facets-to-encounter data validation
- X12 EDI knowledge: 837P, 837I, 837D (Qualified, 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

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 - Encounter Data Processing (Bengaluru)
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