QA Automation Test Engineer Healthcare (EDI / X12 / Claims)
Location : Lewisville, TX (Hybrid 23 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 / PlaywrightJava, Python, or C#REST Assured or equivalentAPI 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.