Job Details

QA Automation Test Engineer – Healthcare (EDI/X12/Claims)

Location: Lewisville, TX (Hybrid – 2–3 days onsite per week)

Type: Full-Time / Direct Hire

Work Authorization: (Add your requirements)

About the Role

We are seeking a QA Automation Test Engineer with strong healthcare domain knowledge, specifically in EDI transactions, X12 file formats, and Claims processing applications. The ideal candidate has solid automation engineering experience, understands end-to-end claims workflows, and can build/maintain automated test frameworks in a hybrid Agile environment.

Responsibilities

• Design, develop, and execute automation test scripts for healthcare claims and EDI/X12 transactions.
• Analyze and validate 837, 834, 835, 270/271, 276/277 and other relevant X12 transaction sets.
• Perform integration, regression, functional, and end-to-end testing of claims processing applications
• Build, enhance, and maintain automation frameworks (Java, Python, C#, Selenium, REST Assured, etc.).
• Collaborate with developers, business analysts, and product teams to identify test scenarios.
• Validate API and backend processes using Postman, SQL, and log analysis.
• Ensure test coverage, create test plans, test cases, and test data aligned with healthcare compliance.
• Participate in Agile ceremonies and contribute to continuous improvement of QA processes.
• Troubleshoot defects, document findings, and support the resolution lifecycle.

Required Skills & Experience

• 5+ years of QA Automation Engineering experience.
• Strong healthcare experience with Claims, EDI, X12, HIPAA transactions
• Hands-on with multiple transaction sets (ideally 837, 835, 834, 270/271
• Strong automation skills using:
• Selenium / Cypress / Playwright
• Java, Python, or C#
• REST Assured or equivalent
• API testing experience (Postman, Swagger, JSON/XML validation).
• Strong SQL skills for backend validation.
• Experience working in Agile/Scrum environments.
• Ability to analyze complex data mappings and healthcare business rules.

Preferred Qualifications

• Experience testing claims adjudication workflows.
• Knowledge of Medicare/Medicaid rules.
• Familiarity with Azure DevOps, Jenkins, Git, or similar CI/CD tools.
• Experience with healthcare payer or TPA platforms.