QA Test Engineer with Medicaid and Claims - Remote

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 PostmanTechnical 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