Quality Assurance Engineer

Job description

The candidate that will succeed in this position will be able to create all the testing and automation frameworks as required for their projects. Thus, the candidate may have to work on multiple projects once, also working to improve the company's best practices from a testing a standpoint. Qualifications: QE Engineer- Core technical & domain requirements: • Facets — REQUIRED: membership/enrollment module testing, subscriber/member configuration, and 834-to-Facets data flow validation • X12 EDI: 834 (Benefit Enrollment & Maintenance) — full transaction expertise • Member add/change/term, dependent handling, dual-enrollment scenarios • Retroactive adjustments and deeming logic (Medicaid/MMP/Dual) • 820 (Premium Payment) validation linkage • Member eligibility cross-validation (270/271 correlation) • Enrollment reconciliation: source system vs. downstream (enrollment DB ↔ claims ↔ eligibility) • c(effective dates, plan codes, LOB flags) • TOSCA or similar automation tool • LOB knowledge: Medicaid, Medicare Advantage, Duals/MMP, TRICARE, Marketplace