About this role
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Job Summary
We are looking for an experienced QA Engineer with strong hands-on experience in QNXT (Healthcare Payer Administration System) and healthcare application testing. The ideal candidate should have expertise in functional testing, database testing, SQL, test case preparation, and validating healthcare claims and enrollment processes.
Key Responsibilities
- Perform functional, regression, integration, and end-to-end testing of QNXT applications.
- Validate healthcare payer business processes, including claims processing, member enrollment, eligibility, benefits, and provider data.
- Develop and execute test cases, test scenarios, and test scripts based on business requirements.
- Perform database testing and data validation using SQL queries.
- Validate claims adjudication, pricing, benefits configuration, and claims payment workflows.
- Identify, document, track, and retest defects using defect management tools.
- Collaborate with business analysts, developers, and business teams to understand requirements and resolve issues.
- Support UAT, system integration testing (SIT), and regression testing.
- Ensure data accuracy and compliance with healthcare business rules and HIPAA requirements.
Required Skills
- Hands-on experience with QNXT testing is mandatory.
- Strong experience in healthcare payer or health insurance domain.
- Knowledge of claims processing, eligibility, enrollment, benefits, and provider management.
- Strong SQL skills for database testing and data validation.
- Experience in functional, regression, integration, and end-to-end testing.
- Experience with test management and defect tracking tools such as JIRA, ALM, or similar tools.
- Good analytical, troubleshooting, and communication skills.
Preferred Qualifications
- Experience testing QNXT upgrades, enhancements, interfaces, and batch processes.
- Knowledge of healthcare EDI transactions such as 837, 835, 834, and 270/271.
- Experience with API testing and healthcare system integrations.
- Familiarity with Agile/Scrum methodologies.
Mandatory: QNXT experience with healthcare payer testing and SQL.