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Full-time
Posted 10d ago
~40 hrs/week
Responsibilities
Develop and execute test plans and scripts focusing on HL7 interface testing and claims processing modules. Validate EDI transaction sets and ensure system compliance with HIPAA regulations and healthcare industry standards.
Requirements
Requires over 3 years of QA experience in healthcare or health insurance with strong knowledge of HL7 and EDI transactions. Proficiency in test management tools and understanding of the medical claims lifecycle are essential.
Full job description
We are looking for an experienced QA Tester to join our team on a long-term project for a US-based client operating in the healthcare domain.
Requirements
3+ years of QA/testing experience in a healthcare or health insurance environment
Strong knowledge of HL7 v2.x message types (ADT, ORM, ORU, DFT, etc.) and interface testing
Solid understanding of medical claims lifecycle; enrollment, eligibility, claims submission, adjudication, EOB/remittance
Experience with EDI healthcare transactions (X12 837P/837I, 835, 270/271)
Proficiency with test management and defect tracking tools
Nice-to-haves
Experience with HL7 FHIR or other modern interoperability frameworks
Familiarity with SQL for data validation and backend verification
Knowledge of ICD-10, CPT, HCPCS coding systems
Experience with test automation tools or frameworks
Understanding of HIPAA privacy and security requirements
Core Responsibilities
Develop and execute test plans, test cases, and test scripts for healthcare applications, with a focus on HL7 interface testing and claims processing modules
Validate HL7 message flows (inbound and outbound) across systems, ensuring accurate parsing, mapping, and acknowledgment handling
Test claims submission, adjudication, remittance, and denial workflows end to end
Identify, document, and track defects through resolution using bug-tracking tools (e.g., Jira, Azure DevOps)
Perform functional, regression, integration, and user acceptance testing
Collaborate with developers, business analysts, and product owners to clarify requirements and acceptance criteria
Validate EDI transaction sets (837, 835, 270/271, 276/277) for accuracy and compliance
Ensure systems comply with HIPAA regulations and healthcare industry standards
About Us
Established in 2011, Trinetix is a dynamic tech service provider supporting enterprise clients around the world.
Headquartered in Nashville, Tennessee, we have a global team of over 1,000 professionals and delivery centers across Europe, the United States, and Argentina. We partner with leading global brands, delivering innovative digital solutions across Fintech, Professional Services, Logistics, Healthcare, and Agriculture.
Our operations are driven by a strong business vision, a people-first culture, and a commitment to responsible growth. We actively give back to the community through various CSR activities and adhere to international principles for sustainable development and business ethics.
Trinetix is a global custom software development partner that brings ambitious ideas to life. We’ll help you transform the way your business operates, serves, navigates industry changes, and sets new market standards. We specialize in delivering design-forward, award-winning technology solutions. As your strategic technology partner, we’ll craft a tailored user experience that also drives top and bottom-line growth.
Our team of experts in AI, GenAI, machine learning, automation, mobile, cloud, user experience, and full platform and product development have delivered thousands of successful engagements over the past 15 years.
We’re ready for whatever challenge or transformation you’re looking to tackle.
Ready to explore the bounds of what’s possible? Visit us at www.trinetix.com to explore our offerings and results.
Offices: 750 Old Hickory Blvd, Brentwood, Tennessee 37027, US · 1226 King St, Wilmington, DE 19801, US · 1V Pavla Tychyny Ave, Kyiv, 02152, UA · 30 N Gould St, Sheridan, Wyoming 82801, US · 12 Bobrzyńskiego St, Kraków, 30-001, PL
Experience DesignIntelligent AutomationBlockchainMobile Consulting & SolutionsIntelligent Digital AssistantsCloud EnablementVisual Communication & ProductionData EnablementAI/MLUI/UX Design
Trinetix is a global custom software development partner that brings ambitious ideas to life. We’ll help you transform the way your business operates, serves, navigates industry changes, and sets new market standards. We specialize in delivering design-forward, award-winning technology solutions. As your strategic technology partner, we’ll craft a tailored user experience that also drives top and bottom-line growth.
Our team of experts in AI, GenAI, machine learning, automation, mobile, cloud, user experience, and full platform and product development have delivered thousands of successful engagements over the past 15 years.
We’re ready for whatever challenge or transformation you’re looking to tackle.
Ready to explore the bounds of what’s possible? Visit us at www.trinetix.com to explore our offerings and results.
Offices: 750 Old Hickory Blvd, Brentwood, Tennessee 37027, US · 1226 King St, Wilmington, DE 19801, US · 1V Pavla Tychyny Ave, Kyiv, 02152, UA · 30 N Gould St, Sheridan, Wyoming 82801, US · 12 Bobrzyńskiego St, Kraków, 30-001, PL
Experience DesignIntelligent AutomationBlockchainMobile Consulting & SolutionsIntelligent Digital AssistantsCloud EnablementVisual Communication & ProductionData EnablementAI/MLUI/UX Design