EDI Quality Engineer
Diverse Lynx
Job Title: EDI Quality Engineer
Work Location & Reporting Address: Hartford, CT 06156 (Onsite-Hybrid. Will consider candidates willing to relocate to client's location)
Contract duration: 6 Months
Does this position require Visa independent candidates only? Yes
Interview Process (Is face to face required?) No
• US Healthcare EDI Commercial Claims Adjudication in FACETS or equivalent platforms
• Provider Demographics and Contracting Application knowledge
• US Healthcare Commercial Insurance Plans and working knowledge on Plan Benefit Testing. Nice to Have Skills:
• Good Communication and presentation skills.
• Good leadership qualities and able to work in onshore-offshore model. Detailed Job Description:
• Commercial Claims Adjudication and provider relationship related to claims.
• EDI 837 Claims Adjudication for Commercial Plans in FACETS or similar platforms.
• Provider Contracts Set Up/Update/Terminate functionalities in various Contracting Application
• Knowledge on US Healthcare Provider Plans and different Classifications/Specialties
• Experience in Manual & Automation Testing planning & execution
• Strong understanding of Software Testing methodologies.
• Experience with Test Management tools - Rational Tool suite, JIRA.
• Working experience in Test Plan, Test Scripts and Test Result preparation, Status reporting.
• Strong communication skills Minimum Years of Experience:
• 7+ years
Vacancy posted 3 days ago
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