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Automation Test Engineer US Healthcare

Knowledge Artisans Private Limited · Hyderabad

📅 12/08/2026
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Automation Test Engineer US Healthcare Location: Hyderabad / Pune / Bangalore / Chennai Work Mode: Hybrid Employment Type: Full-time Experience Required: 6+ Years Domain: US Healthcare Payer / Claims / Encounters Primary Focus: Test Automation, API Testing, Database Testing & Healthcare EDI Validation About the Hiring Organization We are hiring on behalf of an established technology and digital transformation organization delivering enterprise-grade software, cloud, data, and managed technology solutions to global clients. The organization supports complex, business-critical applications and works with advanced technologies across enterprise platforms, healthcare systems, digital engineering, and managed technology services. This is an opportunity to work on high-impact US Healthcare payer applications, with exposure to automation testing, healthcare claims and encounter transactions, EDI validation, APIs, databases, and enterprise-scale quality engineering. Please Note: This recruitment is being managed confidentially on behalf of our client. The organizations identity will be shared with shortlisted candidates during the recruitment process.About the Role We are seeking an experienced and detail-oriented Automation Test Engineer US Healthcare with strong expertise in test automation, API testing, database testing, healthcare payer workflows, and EDI transaction validation. The ideal candidate will have at least 6 years of experience in software testing and quality assurance, including hands-on experience with at least one automation framework such as Tosca, Playwright, or Selenium. The role requires strong knowledge of US Healthcare payer systems, healthcare claims and encounter processing, CMS encounter submission requirements, and healthcare EDI transactions. The candidate should be comfortable validating complex EDI transaction structures, including 837P, 837I, 837D, 277CA, 999, and TA1. The selected candidate will work closely with business analysts, developers, integration teams, product teams, and quality engineering stakeholders to ensure the accuracy, reliability, compliance, and quality of healthcare applications and data exchanges. Key Responsibilities1. Test Automation Design, develop, execute, and maintain automated test scripts for web-based and enterprise healthcare applications.Work with at least one automation framework, including:ToscaPlaywrightSeleniumDevelop reusable, scalable, and maintainable automation test components.Identify suitable test cases for automation based on business criticality, frequency, complexity, and regression requirements.Maintain and enhance existing automation suites.Execute automated regression testing and analyze test results.Troubleshoot automation failures and work with development teams to resolve application defects.Support continuous improvement of automation coverage and testing efficiency.2. Functional & Healthcare Application Testing Understand and validate healthcare payer business workflows.Perform functional, integration, regression, system, and end-to-end testing.Review business requirements, user stories, functional specifications, and acceptance criteria.Prepare detailed test scenarios, test cases, test data, and validation checklists.Validate healthcare claims, encounters, member eligibility, and related payer processes.Identify functional gaps and ensure defects are documented and tracked through closure.Participate in test planning, test execution, defect triage, and release validation.3. API Testing Perform functional and integration testing for REST and SOAP APIs.Validate API requests, responses, headers, authentication, payload structures, and error handling.Verify data flow between healthcare applications and integrated systems.Test positive, negative, boundary, and exception scenarios.Validate API responses against business rules and expected healthcare transaction outcomes.Identify and document API defects and integration issues.Collaborate with development and integration teams to troubleshoot failures.4. Database & SQL Testing Perform database testing to validate healthcare claims, encounter, member, provider, and eligibility data.Write and execute SQL queries for backend data validation.Validate data across:Claim headersClaim detail or service-line recordsMember eligibility informationProvider-related dataEncounter transaction dataPerform source-to-target data validation and reconciliation.Identify data inconsistencies, missing records, duplicate records, and incorrect transformations.Support defect analysis through backend data investigation.5. Healthcare EDI Transaction Testing Validate healthcare EDI transactions and transaction structures.Review transaction loops, segments, elements, and business rules.Perform testing and validation for:837P Professional Claims837I Institutional Claims837D Dental Claims277CA Claim Acknowledgement999 Implementation AcknowledgementTA1 Interchange .
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