SDET Engineer - Member enrollment & eligibility

Quarks Technosoft; Bengaluru; On-site; INR 1,200,000 - 1,800,000; Full time

Job summary

Quarks Technosoft in Bengaluru seeks an experienced SDET Engineer to drive testing of member enrollment eligibility within the Healthcare domain. You will design enrollment scenarios, validate Facets integration, and ensure accurate X12 834/820 processing and 270/271 mappings.

The role emphasizes automation, SQL data checks, and offshore test design across LOBs, with mentoring of analysts and RCA on discrepancies.

Qualifications

• Experience testing Facets enrollment module and 834/820 data flows.
• Expertise in X12 EDI 834/820 and 270/271 correlation.
• SQL scripting for member-level data comparisons (dates, plan codes).
• Understanding Medicaid/MA/DUAL/Marketplace LOBs.

Responsibilities

• Design enrollment scenarios including retro, term, and dual-enrollment.
• Build and maintain automation; lead 820 linkage and 270/271 testing.
• Lead reconciliation between 834 source and downstream records.
• Own offshore enrollment test design across LOBs and deeming logic.
• Drive automation coverage and mentor analysts.
• Conduct RCA on eligibility and reconciliation discrepancies.

Skills

Facets

X12 EDI

SQL

TOSCA

ADO

Enrollment reconciliation

Tools

TOSCA

ADO

Job description

SDET Engineer - Member enrollment eligibility

9-14 Years Bengaluru

• Factes
• API Testing
• CRM testing
• FRIR
• SQL

Healthcare Domain - Member enrollment eligibility - X12 834 maintenance, retro adjustments, deeming, 820 premium linkage, reconciliation across Medicaid / MA / Duals / MMP / TRICARE / Marketplace

Core Skills Needed - Facets (REQUIRED), X12 EDI (834, 820, 270/271), SQL, TOSCA, ADO, enrollment reconciliation

• Facets - REQUIRED: membership/enrollment module testing, subscriber/member configuration, and 834-to-Facets data flow validation
• X12 EDI: 834 (Benefit Enrollment Maintenance) - full transaction expertise
• Member add/change/term, dependent handling, dual-enrollment scenarios
• Retroactive adjustments and deeming logic (Medicaid/MMP/Dual)
• 820 (Premium Payment) validation linkage
• Member eligibility cross-validation (270/271 correlation)
• Enrollment reconciliation: source system vs. downstream (enrollment DB claims eligibility)
• SQL for member-level data comparisons (effective dates, plan codes, LOB flags)
• TOSCA or similar automation tool
• LOB knowledge: Medicaid, Medicare Advantage, Duals/MMP, TRICARE, Marketplace

Responsibilities

• Design enrollment scenarios including retro, term, and dual-enrollment.
• Build/maintain automation; lead 820 linkage and 270/271 correlation testing.
• Lead reconciliation between 834 source and downstream member records.
• Own offshore enrollment test design across LOBs and deeming logic.
• Drive automation coverage and mentor analysts.
• Conduct RCA on eligibility and reconciliation discrepancies.