Remote EDI Tester — 834 Enrollment Validation

Apex Systems; Pleasanton, Northern (CA, KY); Hybrid; USD 55,000 - 90,000; Full time

Job summary

Apex Systems is actively hiring an EDI Tester for a large Healthcare client. This fully remote role supports California EDI connections and focuses on validating 834 files for formatting and data quality.

The tester will perform membership validation, scenario testing, and defect identification, collaborating with EDI developers and QA teams to ensure enrollments are accurate and compliant.

Qualifications

• Experience with California EDI is mandatory.
• Deep knowledge of HIPAA 834 structure, loops, segments, and benefit codes is required, along with experience in membership testing, eligibility validation, and file reconciliation.

Responsibilities

• Execute membership testing for California EDI connections.
• Validate inbound and outbound 834 files for accuracy, formatting, and compliance.
• Perform scenario testing, regression testing, and enrollment lifecycle validation.
• Identify defects, missing fields, incorrect plan codes, and demographic mismatches.
• Document test results, defects, and required corrections.
• Collaborate with EDI developers, enrollment operations, and QA teams.
• Support open enrollment testing cycles and high-volume periods.

Skills

QA Testing

Analytical Skills

Documentation

Defect Tracking

HIPAA 834 Knowledge

Tools

JIRA

Job description

Apex Systems is actively hiring an EDI Tester for a large Healthcare client. This fully remote role supports California EDI connections and focuses on validating 834 files for formatting and data quality.

The tester will perform membership validation, scenario testing, and defect identification, collaborating with EDI developers and QA teams to ensure enrollments are accurate and compliant.