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QA Test Engineer with Medicaid and Claims - Remote

Job

The Dignify Solutions, LLC

Remote

Full-Time

Posted 3 weeks ago (Updated 1 day ago) • Actively hiring

Expires 7/5/2026

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Job Description

Should have strong MMIS health care domain experience and should have good knowledge of Medicaid and Medicare. Should have hands-on experience on claims processing and Adjudication processes. Must have good experience in Reference code/data sets required in Claims adjudication. Must have prior experience or understanding in configuring benefits or programs in claims system across various sub-systems. In depth understanding of Claims and Claims lifecycle 
Claim System:
Testing knowledge and E2
E Testing:
Validate the entire flow from claim intake to payment and reporting. Interface testing•Test integration points between systems Design test case based on business rules, coverage policies, and system configurations. Familiarity with test management tools like ADO, JIRA, Interface/API testing tools like
Postman Technical Skills SQL:
To validate data in backend tables (e.g., claim status, payment details, find members/providers, Benefit Plan).•
EDI Tools:
Validating X12 files.•
Interface Testing:
Understanding how data flows between systems and formats and use tools like postman