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Open nowFirst seen 6 days ago

SDET Engineer – Provider Data Management (Healthcare Domain)

Jobskey Consultancy662 open roles

Where
Bengaluru, Karnataka, India
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Your applicationOpen nowSDET Engineer – Provider Data Management (Healthcare Domain)Jobskey Consultancy · Bengaluru, Karnataka, India

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The clock on this job

Early applications get read.

12.3% of postings close within 7 days. Measured by our own scanner across the market.

Share of postings closed within
  1. 2.1%1 day
  2. 4.5%3 days
  3. 12.3%7 days
  4. 19.7%14 days
  5. 35.6%30 days
  6. 58.0%60 days
This job: first seen 6 days ago

The posting

Hiring Now: SDET Engineer – Provider Data Management (Healthcare Domain)

Locations: Bangalore | Chennai | Hyderabad | Pune | Vadodara Work Mode: Hybrid (2-3 Days Work from Office) Shift Timing: 2:00 PM – 11:00 PM IST Experience Required: 8+ Years Open Positions: 1 Notice Period: Immediate Joiners or Candidates Serving Notice Period (Must Join by 15th July)

Join a High-Impact Healthcare Transformation Program!

We are seeking an experienced SDET Engineer – Provider Data Management with strong expertise in Facets, Healthcare EDI Transactions, Provider Data Validation, SQL, and Test Automation. The ideal candidate will play a critical role in ensuring provider directory accuracy, credentialing workflows, eligibility validation, prior authorization processing, and provider payment reconciliation across multiple Lines of Business (LOBs).

Key Skills Required

Facets (Mandatory) Provider, Contract & Network Module Testing X12 EDI Transactions:

  • 278 (Prior Authorization)
  • 270/271 (Eligibility & Benefits Inquiry/Response)
  • 835 (Remittance Advice)

Provider Data Validation (NPI, TIN, Taxonomy Codes) SQL Data Validation & Reconciliation TOSCA Automation Testing Azure DevOps (ADO) Healthcare Payer Domain Expertise

Healthcare Domain Experience Required

Medicaid Medicare Advantage (MA) Duals / MMP TRICARE Marketplace Plans

Core Functional Expertise

Provider Data Management

NPI Validation TIN Validation Taxonomy Code Validation Provider Specialty Validation Address & Demographic Verification Network Status Validation

Provider Lifecycle Testing

Provider Enrollment Credentialing Workflows New Provider Onboarding Provider Updates & Changes Provider Terminations Provider Reactivations

Provider Directory Accuracy

Network Tier Validation Plan-Level Provider Validation Accepting New Patients Indicators Directory Compliance Testing

Claims & Payment Validation

835 Remittance Processing Provider Payment Reconciliation Claims-to-Provider Cross Validation

Key Responsibilities

Design and execute provider data management, credentialing, and directory accuracy test scenarios

Validate provider enrollment, credentialing, and lifecycle workflows

Test and automate X12 EDI transactions:

  • 278 Prior Authorization
  • 270/271 Eligibility & Benefits
  • 835 Remittance Processing

Build and maintain robust automation frameworks using TOSCA

Perform provider data cross-validation using SQL across:

  • Provider Master Data
  • Claims Systems
  • Eligibility Platforms
  • Provider Directories

Validate provider payment linkage and support feature-level triage activities

Lead offshore provider testing initiatives across multiple Lines of Business

Conduct Root Cause Analysis (RCA) for:

  • Directory Accuracy Issues
  • Network Status Discrepancies
  • Authorization Failures
  • Credentialing Defects

Drive automation coverage, quality improvements, and mentor junior QA analysts

Why Join?

Work on enterprise-scale Healthcare Provider Management systems Exposure to Medicaid, Medicare Advantage, Duals, TRICARE & Marketplace programs Opportunity to lead automation and quality engineering initiatives Collaborative global team environment Hybrid work model with long-term growth opportunities

Interested candidates can share their updated resume at:

Email: [email protected] WhatsApp: +91 7013663419

#Hiring #SDET #HealthcareJobs #HealthcareIT #ProviderDataManagement #Facets #EDI #X12 #278 #270271 #835 #TOSCA #SQL #AzureDevOps #HealthcareTesting #ProviderDirectory #Credentialing #Medicaid #MedicareAdvantage #TRICARE #Marketplace #AutomationTesting #QAJobs #BangaloreJobs #HyderabadJobs #ChennaiJobs #PuneJobs #VadodaraJobs #Jobskey

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