Healthcare Claims QA Engineer, EDI/X12 & Automation

TechDigital Group; Connecticut; Hybrid; USD 70,000 - 100,000; Full time

Job summary

TechDigital Group is seeking a QA professional with strong healthcare claims testing experience in CT, focusing on preadjudication, validation rules and end-to-end scenarios. Candidates should demonstrate expertise in EDI/X12 (837P/837I) and SQL-based validation, plus API/integration testing and regression suites.

The role emphasizes rapid understanding of complex business rules, defect analysis, and creating robust test data with a proactive, collaborative approach in a healthcare domain.

Qualifications

• Experience with healthcare claims QA/testing.
• Strong knowledge of EDI/X12 transactions (837P/837I).
• Facets/PEGA knowledge is preferred.
• Proficient in SQL/database testing and API/integration testing.

Responsibilities

• Strong QA/testing experience in healthcare claims.
• Strong understanding of claims, preadjudication, validation rules, edits, rejects & pend processing.
• Experience in EDI/X12 transactions especially 837P/837I.
• Facets/PEGA Knowledge is preferred.
• Strong SQL/database testing skills.
• Experience in API/Integration testing.
• Strong functional, regression and end-to-end testing experience.
• Test automation experience to build regression suite.
• Strong defect analysis, and test data creation skills.
• Ability to quickly understand the existing application, business rules and testing process and become productive with minimal training.

Skills

Healthcare QA testing

EDI/X12 testing

Facets/PEGA

SQL/database testing

API/Integration testing

Test automation

Defect analysis & test data creation

Rapid learning of business rules

End-to-end testing

Job description

TechDigital Group is seeking a QA professional with strong healthcare claims testing experience in CT, focusing on preadjudication, validation rules and end-to-end scenarios. Candidates should demonstrate expertise in EDI/X12 (837P/837I) and SQL-based validation, plus API/integration testing and regression suites.

The role emphasizes rapid understanding of complex business rules, defect analysis, and creating robust test data with a proactive, collaborative approach in a healthcare domain.