Hiring Now: SDET Engineer – Encounter Data Processing (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
Joining Preference: Immediate Joiners or Candidates Serving Notice Period (Must Join by 15th July)

About the Role

We are looking for an experienced SDET Engineer – Encounter Data Processing with a strong background in the Healthcare Payer domain. The ideal candidate should possess deep expertise in Facets, X12 EDI transactions, SQL validation, and test automation frameworks to support large-scale encounter data submission and validation processes.

Key Skills Required

Facets (Mandatory) – Claims Module & Encounter Data Validation
X12 EDI Transactions – 837P, 837I, 837D
277CA Claim Acknowledgements
999 / TA1 Validation & Reconciliation
SQL for Data Validation & Cross-Verification
Edifecs or Similar EDI Validation Tools
TOSCA Automation Framework
Robot Framework Automation
Healthcare Payer Domain Knowledge
CMS & State Companion Guide Compliance

Domain Expertise Required

Encounter Data Processing
Medicaid Encounter Submissions
Medicare Advantage Encounter Submissions
TRICARE Encounter Processing
Marketplace Healthcare Transactions
Encounter Acceptance & Rejection Management
CMS Encounter Submission Rules

Key Responsibilities

Design and execute end-to-end encounter lifecycle test scenarios across:

• 837P (Professional)
• 837I (Institutional)
• 837D (Dental)
• 277CA
• 999 / TA1

Build, maintain, and enhance automation frameworks using:

• TOSCA
• Robot Framework

Perform Facets-to-Encounter Data Validation

Lead reconciliation activities between source claims and submitted encounters

Validate encounter submissions against CMS and State Companion Guide requirements

Conduct Root Cause Analysis (RCA) for encounter rejections and CMS/State edit failures

Drive automation coverage and improve regression testing efficiency

Mentor QA Analysts and support EDI validation best practices

Technical Expertise

Strong understanding of X12 transaction structures, loops, and segments
Hands-on experience with Edifecs or equivalent EDI validation platforms
Expertise in SQL-based validation of:

• Claim Headers
• Claim Details
• Member Eligibility
• Encounter Reconciliation

Strong Healthcare Payer testing experience

Why Join?

Work on mission-critical Healthcare Data Processing programs
Exposure to Medicare, Medicaid, TRICARE & Marketplace systems
Opportunity to lead automation initiatives in a fast-growing environment
Hybrid work model with top-tier technology teams

Interested candidates can share their updated resume at:

Email: [email protected]
WhatsApp: +91 7013663419

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