Overview
Skills
Job Details
ob Title: Healthcare QA Analyst – EDI Transactions (835 & 837)
Location: Remote
Job Summary:
We are seeking a detail-oriented and experienced Healthcare QA Analyst with strong expertise in HIPAA-compliant EDI transactions, particularly 835 (Remittance Advice) and 837 (Claims) formats. The ideal candidate will be responsible for validating healthcare data exchanges, ensuring compliance with industry standards, and supporting the QA lifecycle for healthcare applications.
Key Responsibilities:
EDI Testing & Validation:
Develop and execute test cases for EDI X12 transactions including 837P/I/D and 835.
Validate X12 segment structures, looping, and SNIP levels.
Perform pre- and post-adjudication testing for claims.
Healthcare Domain Expertise:
Understand claims processing, enrollment, and remittance workflows.
Validate data in systems like FACETS, QNXT, or similar platforms.
Technical Skills:
Use SQL for backend data validation.
Perform API testing using tools like Postman or Insomnia.
Utilize automation tools such as Selenium, Cucumber, or JIRA for defect tracking.
Collaboration & Documentation:
Work closely with business analysts, developers, and product owners to understand requirements.
Document test results, defects, and provide detailed QA reports.
Required Qualifications:
5+ years of experience in QA/testing within the healthcare domain.
Strong knowledge of HIPAA regulations and EDI standards (4010/5010).
Hands-on experience with 837 and 835 transactions.
Proficiency in SQL, test case design, and defect management tools.
Excellent communication and analytical skills