Functional Tester with FACETS & Healthcare Experience
Location : Seattle, Washington
Work Mode : Hybrid - 3 days work from office
Key Responsibilities
Perform functional integration and regression testing across healthcare applications
Design and execute test scenarios test cases and test data based on business requirements
Validate Facets modules including Claims Membership Provider Billing and Benefits
Conduct EDI testing for HIPAA transactions such as
834 Enrollment
837 Claims
835 Payments
270271 Eligibility
Verify EDI file structures mappings and data transformations across systems
Execute end-to-end testing of claims lifecycle submission adjudication payment
Identify log track and manage defects using tools like JIRAALM
Perform backend validation using SQL to ensure data integrity
Collaborate with business analysts developers and stakeholders for requirement validation and defect resolution
Support UAT cycles and production validation activities
Maintain test artefacts such as test plans RTM execution reports and defect logs
Required Skills Experience
811 years of experience in Functional Testing QA
Strong experience in US Healthcare domain Payer Provider
Hands-on experience with Facets application testing Claims Enrollment Billing Provider modules
Solid experience in EDI testing X12 HIPAA transactions such as 834 71
Strong understanding of
Claims processing adjudication workflows
Member enrollment eligibility
Provider and billing processes injoobleorg
Good knowledge of SQL for backend validation
Experience with test management defect tracking tools JIRA ALM Azure DevOps
Familiarity with SDLC STLC AgileScrum methodologies
Strong analytical problemsolving and communication skills
Good to Have Skills
Exposure to APIWeb services testing SOAP REST
Experience in automation tools Selenium Tosca
Knowledge of EDI tools translators Sterling BizTalk etc
Understanding of HIPAA compliance and healthcare regulations
Typical Functional Areas Tested
Claims Adjudication Pricing
Member Enrollment Eligibility
Provider Management
Billing Payments 835 remittance
EDI Interfaces Batch Processing
Integration with up stream down stream systems
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