Job Summary

A senior QA engineer in this role should own quality for new healthcare client integrations. They should be able to validate EDI claim flows end to end, carry testing for an activation from requirement review through client UAT and go-live, and keep existing live clients protected from regression as new work ships. They should combine deep manual and analytical testing in healthcare data and have the ability to design and maintain automated regression coverage. They need to work closely with engineering, platform, and client-facing teams, and help guide QA execution across internal and partner resources.

Job Description

As a Senior Quality Assurance Engineer, you will set and run the test strategy for new client activations, validate EDI claim flows end to end, and safeguard platform quality across internal and vendor teams. You will perform root cause analysis on defects, trace malformed outputs, verify data across databases and output files, and support client UAT while ensuring regression coverage for live clients.

Job Specification

• Conduct independent data verification using SQL and MongoDB queries across file output, UI, and backend tables
• Review Scala and Java code changes and pull request diffs to determine test scope and impacted areas
• Set and run the test strategy for new client activations, from requirement review through UAT and go-live
• Validate EDI transactions and acknowledgement chains at segment level; 837I/837P; including adjustments, voids, and claim-level reason and remark codes
• Design, build, and maintain automated regression suites for data flows, contributing test code that passes peer review and merges to the main branch
• Perform root cause analysis on defects, tracing malformed output back to the responsible transformation, mapping, configuration, or environment
• Create and maintain reusable test data, including hand-constructed EDI files targeting specific edge cases
• Log defects with sufficient precision (input file, flow version, environment, expected vs. actual) to enable first-pass resolution
• Maintain test case repositories and traceability from requirement through test case to defect
• Estimate QA effort, allocate and review work across internal and vendor QA teams, and report progress and blockers
• Support client UAT, including reproduction, triage, and communication of reported issues
• Review requirements for testability and raise gaps before development begins
• Leverage AI tools for automating QA workflow

Required Skills and Expertise

Experience

• Minimum 4 years in software quality assurance, with at least 2 years in healthcare EDI, claims processing, or payer-side data integration
• Demonstrated ownership of QA for client implementations or activations, as distinct from product-only QA

Domain Knowledge

• General US healthcare domain knowledge such as HIPAA, PHI/PII, EDI X12 files
• Practical command of X12 transaction sets, loop hierarchy (2000A / 2300 / 2400), segment placement, and qualifiers
• should be able to read a raw X12 837 file and identify structural errors without tooling, and should be familiar with 837I/837P, 999, 278N Authorization, 277CA, 834 and 835.
• Claims lifecycle knowledge including adjustments, voids, case linkage, misdirected claims, pricing and repricing, and reason and remark codes

Testing Capability

• Test planning and test case design covering positive, negative, boundary, and regression scenarios
• Exploratory testing to identify defects outside documented cases
• Proficiency with test case management tools such as TestRail, Zephyr, or Xray
• Defect lifecycle management in Jira or equivalent

Technical Skills

• Proficiency in at least one test automation language and framework, with sound judgement on automation scope
• Automation of data flow validation; file-in/file-out comparison, schema and segment assertions
• SFTP/FTP protocol basic knowledge and working knowledge of SFTP and encryption/decryption in file exchange
• ETL workflow knowledge
• Working knowledge of Git-based workflows (GitHub / GitLab) including branching, merge requests, and code review
• CI/CD pipeline literacy sufficient to distinguish test failures from pipeline or environment failures
• Strong SQL Postgres; working knowledge of MongoDB query syntax
• API testing using REST clients such as Postman
• Ability to read Scala/Java code, clarity on OOP concepts to assess change impact

Platform and Operations

• Experience with data flow orchestration tooling, preferably Apache NiFi, including flow versioning and processor behaviour
• Understanding of configuration-driven integration models and how client-specific configuration affects expected output
• Familiarity with scheduling constructs such as cron and Quartz expressions
• Experience with environment promotion across dev, test, staging, UAT, and production

Analysis and Communication

• Strong log analysis, queue inspection, and error triage skills
• Ability to classify faults as data, configuration, code, or environment issues prior to escalation
• Clear written communication, adaptable between internal engineering detail and client-facing updates
• Experience coordinating work across distributed and vendor teams

Nice to Have

• Experience with authorization (278) and eligibility (270/271) transaction sets
• Enough Scala and Java reading ability to assess the impact of a code change
• PostgreSQL experience in a data verification context
• Experience mentoring or leading junior QA engineers
• Prior work in a healthcare payer, TPA, or clearinghouse environment
• Apache NiFi or comparable data flow orchestration tooling
• Test case management tooling such as TestRail, Zephyr, or Xray
• SFTP and PGP encryption in file exchange
• Cron and Quartz scheduling
• Background in a payer, TPA, or clearinghouse environment

Work Shift

Non-Daylight Savings Time (Nepal Time)

• Monday - Friday: 1:30 PM – 10:30 PM

Daylight Savings Time (Nepal Time)

• Monday - Friday: 2:30 PM – 11:30 PM