Healthcare QA Tester (MMIS/ Cliams Domain)

Job Description:

Job Title: IT Testing Engineer III (MMIS/Claims)
Location: Remote
Type: Full Time/W2 with Infinite Computer Solutions

We re looking for an experienced QA/Test Engineer III with strong MMIS, Healthcare, and Claims expertise to lead testing strategy and ensure quality across large-scale healthcare systems.

Key Responsibilities:

• Lead SIT, UAT, E2E, functional, regression, and interface testing.
• Develop test strategies, plans, scenarios, estimates, and metrics.
• Manage test environments, test data, defects, and RCA.
• Partner with Development, BA, Architecture, Clients, and vendors.
• Support UAT, deployments, knowledge transfer, and continuous QA improvement.

Must Have

• 5 - 8+ years of QA/testing experience; 5+ years in large-scale healthcare/MMIS preferred.
• Strong Medicaid & Medicare knowledge.
• Hands-on Claims Processing & Adjudication experience.
• Knowledge of Professional, Institutional, Dental, Pharmacy, Encounters & Capitation claims.
• Strong understanding of EDI/X12 (837, 835, 834, 270/271, 276/277).
• Experience with SQL, EDI validation, API/interface testing, and Postman.
• Experience with ADO/JIRA and defect management.
• Exposure to claims systems such as CMdS, GHS, Facets, or similar.
• Strong analytical, troubleshooting, communication, and client-facing skills.