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QA Test Engineer with Medicaid and Claims - Remote
- United States
- United States
About
Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare. Should have hands-on experience on claims processing and adjudication processes. Must have good experience in reference code/data sets required in claims adjudication. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. In depth understanding of Claims and Claims lifecycle Claim System: Testing knowledge and E2E Testing: Validate the entire flow from claim intake to payment and reporting. Interface testing - Test integration points between systems Design test case based on business rules, coverage policies, and system configurations. Familiarity with test management tools like ADO, JIRA, Interface/API testing tools like Postman Technical Skills SQL: To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan). EDI Tools: Validating X12 files. Interface Testing: Understanding how data flows between systems and formats and use tools like postman
Languages
- English
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