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    Job · 16367607

    HYDERABAD · FULLTIME

    SDET Engineer (Provider Data Management)

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    Otomeyt

    Hyderabad · hybrid · Posted 43d ago

    Sourced fromNaukri
    Undisclosed8–12 yrsfulltimeHyderabad

    About a minute. You'll make an account on the way through.

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    Section · 01

    About this role

    Job Overview

    We are looking for an SDET Engineer with expertise in Healthcare Provider Data Management. The role focuses on provider directory accuracy, credentialing, prior authorization, eligibility, and 835 payment linkage across Medicaid, Medicare Advantage, Duals/MMP, TRICARE, and Marketplace.

    The candidate must have Facets experience, specifically provider, contract, and network module testing and configuration validation, along with X12 EDI, SQL, TOSCA, and ADO experience.


    Key Responsibilities

    • Design provider data, directory-accuracy, and credentialing-workflow scenarios.
    • Build and maintain automation.
    • Test 278 and 270/271 transactions.
    • Validate 835 payment linkage.
    • Lead feature-level triage.
    • Own offshore provider test design across LOBs.
    • Drive automation coverage.
    • Mentor analysts.
    • Conduct RCA on directory, network, and authorization discrepancies.

    Sourced from naukri

    Section · 02

    Skills

    TRICAREProvider DirectoryADOTaxonomycredentialingtoscaMarket PlaceQA AutomationSDETMedicaidfacetsPrior Authorizationprovider enrollmentNPIRemittanceeligibilitymedicare advantageSQLTinX12 EDIprovider data270/271

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