Functional Test Engineer

Alike Thoughts; Hyderabad, Pune District, Bengaluru; Hybrid; INR 900,000 - 1,400,000; Full time

Job summary

Alike Thoughts is seeking a functional tester with healthcare experience to join our QA team in Hyderabad. The role requires hands-on testing across healthcare applications, including Facets modules for Claims, Enrollment, Billing and Provider functions, along with EDI testing for HIPAA transactions.

Candidates should be proficient in designing test scenarios, executing test data, and validating backend data with SQL.

Qualifications

• 48+ years of experience in Functional Testing / QA.
• Strong experience in US Healthcare domain (Payer/Provider).
• Hands-on experience with Facets application testing (Claims, Enrollment, Billing, Provider modules).
• Solid experience in EDI testing (X12 / HIPAA transactions such as 834, 837, 835, 270/271).

Responsibilities

• Perform functional, integration, and regression testing across healthcare applications.
• Design and execute test scenarios, test cases, and test data based on business requirements.
• Validate Facets modules including Claims, Membership, Provider, Billing, and Benefits.
• Conduct EDI testing for HIPAA transactions such as 834, 837, 835, 270/271.
• Verify EDI file structures, mappings, and data transformations across systems.
• Execute end-to-end testing of claims lifecycle (submission adjudication payment).
• Identify, log, track, and manage defects using JIRA/ALM/Azure DevOps.
• Perform backend validation using SQL to ensure data integrity.
• Collaborate with business analysts, developers, and stakeholders for requirement validation and defect resolution.
• Support UAT cycles and production validation activities.
• Maintain test artefacts such as test plans, RTM, execution reports, and defect logs.

Skills

Functional tester

Healthcare experience

Facets Knowledge

EDI file testing

Tools

JIRA

ALM

Azure DevOps

SQL

Job description

Any Project specific Prerequisite skills

Functional tester with Healthcare experience + Facets Knowledge + experience in EDI file testing

Detailed JD

Key Responsibilities

• Perform functional, integration, and regression testing across healthcare applications [interviewguy.com]
• Design and execute test scenarios, test cases, and test data based on business requirements [interviewguy.com]
• Validate Facets modules including Claims, Membership, Provider, Billing, and Benefits [linkedin.com]
• Conduct EDI testing for HIPAA transactions such as:
  • 834 (Enrollment)
  • 837 (Claims)
  • 835 (Payments)
  • 270/271 (Eligibility)
• Verify EDI file structures, mappings, and data transformations across systems [naukri.com]
• Execute end-to-end testing of claims lifecycle (submission adjudication payment) [naukri.com]
• Identify, log, track, and manage defects using tools like JIRA/ALM [naukri.com]
• Perform backend validation using SQL to ensure data integrity [simplyhired.com]
• Collaborate with business analysts, developers, and stakeholders for requirement validation and defect resolution [testingsociety.com]
• Support UAT cycles and production validation activities [testingsociety.com]
• Maintain test artefacts such as test plans, RTM, execution reports, and defect logs [testingsociety.com]

Required Skills & Experience

• 48+ years of experience in Functional Testing / QA
• Strong experience in US Healthcare domain (Payer/Provider)
• Hands-on experience with Facets application testing (Claims, Enrollment, Billing, Provider modules) [linkedin.com]
• Solid experience in EDI testing (X12 / HIPAA transactions such as 834, 837, 835, 270/271) [hirist.tech]

Strong understanding of:

• Claims processing & adjudication workflows
• Member enrollment & eligibility
• Provider and billing processes [in.jooble.org]
• Good knowledge of SQL for backend validation
• Experience with test management & defect tracking tools (JIRA, ALM, Azure DevOps)
• Familiarity with SDLC, STLC, Agile/Scrum methodologies
• Strong analytical, problem-solving, and communication skills

Good-to-Have Skills

• Exposure to API/Web services testing (SOAP/REST)
• Experience in automation tools (Selenium / Tosca) [hirist.tech]
• Knowledge of EDI tools / translators (Sterling, BizTalk, etc.) [naukri.com]
• Understanding of HIPAA compliance and healthcare regulations [simplyhired.com]

Typical Functional Areas Tested

• Claims Adjudication & Pricing
• Member Enrollment & Eligibility
• Provider Management
• Billing & Payments (835 remittance)
• EDI Interfaces & Batch Processing
• Integration with upstream/downstream systems