EDI Tester- Facets & Payer

Mandatory Areas

Must Have Skills

• Skill 1 – Functional Testing / Quality Engineering, with 10+ years of experience

• Skill 2 – Testing Program / Managed Services Leadership, 5+ years

• Skill 3 – Facets Healthcare System, 5+ years

• Skill 4 – Healthcare Payer Domain: Claims, Enrollment, Membership, Billing & Provider

• Skill 5 – Prior Authorization, Care Management & EDI Transactions

• Skill 6 – Functional Discovery, Testing Assessments, Transition Planning & Testing Operating Models

• Skill 7 – Workforce Planning, Organizational Design & Stakeholder Management

• Skill 8 – Jira, qTest & Azure DevOps

Domain Experience (If any) – Healthcare Payer / Facets

Required Experience

10+ years of experience in Functional Testing or Quality Engineering.

5+ years leading testing programs or managed services engagements.

5+ years of experience with the Facets healthcare system.

Experience in discovery, due diligence, transition assessments, and testing operating model evaluations.

Strong Healthcare Payer domain expertise, including:

Claims

Enrollment

Membership

Billing

Provider

Prior Authorization

Care Management

EDI Transactions

Proven experience in workforce planning, organizational design, and stakeholder management.

Familiarity with Jira, qTest, Azure DevOps, and modern Quality Engineering practices.

Preferred Experience

Healthcare Payer managed services transformations.

TCoE establishment and maturity assessments.

Test Data Management (TDM) exposure.