Functional Tester FACETS

Functional Tester with FACETS & Healthcare Experience

Location:
Seattle, Washington

Work Mode:
Hybrid - 3 days work from office

• 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 Enrollment
  • 837 Claims
  • 835 Payments
  • 270271 Eligibility
• Verify EDI file structures, mappings and data transformations across systems
• Execute end-to-end testing of claims lifecycle submission adjudication payment
• Identify, track and manage defects using tools like JIRAALM
• 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

• 811 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, 270271

• Claims processing adjudication workflows
• Member enrollment eligibility
• Provider and billing processes injoobleorg
• Good knowledge of SQL for backend validation
• Experience with test management defect tracking tools JIRA, ALM, Azure Dev Ops
• Familiarity with SDLC, STLC, Agile/Scrum methodologies
• Strong analytical, problem‑solving and communication skills

• Exposure to API/Web services testing: SOAP, REST
• Experience in automation tools Selenium, Tosca
• Knowledge of EDI tools translators:
  Sterling, Biz Talk, etc.
• Understanding of HIPAA compliance and healthcare regulations

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