The Senior QE Automation Engineer (Facets + Claims / Encounters with Playwright or Tosca) will lead quality engineering efforts for encounter processing, owning test strategy, EDI validation, and automation across payer systems. This role requires deep expertise in encounter submissions, regulatory requirements, and defect root cause analysis.

Key Responsibilities

Own and drive end-to-end encounter testing strategy across all lines of business
Lead the design and validation of complex encounter scenarios, including submission edits, rejection handling, and resubmissions
Oversee 837 transaction lifecycle and ensure accurate processing through acknowledgements (277CA, 999, TA1)
Enforce compliance with CMS guidelines and state-specific companion guides
Lead Facets claims-to-encounter validation and reconciliation across downstream systems
Define and drive test automation strategy using TOSCA or Robot Framework (MANDATORY) to improve regression coverage
Conduct root cause analysis (RCA) for encounter rejections, errors, and CMS/state edit failures
Mentor QE engineers and analysts on EDI standards, encounter validation, and automation best practices
Collaborate with onshore teams, product owners, and stakeholders to ensure high-quality delivery
Ensure adherence to Agile practices, ADO governance, and defect lifecycle management

Required Skills

5 to 12 years of Extensive experience with Facets Claims module and encounter data processing
Deep expertise in X12 EDI transactions (837P/I/D, 277CA, 999/TA1)
Strong automation experience with TOSCA / Playwright or Robot Framework (MANDATORY)
Advanced SQL and reconciliation expertise
Hands-on experience with Edifecs or equivalent EDI validation tools
Strong understanding of CMS encounter submission requirements and state companion guides
Proven leadership, mentoring, and problem-solving capabilities

Locations: Bangalore / Hyderabad / Chennai / Pune / Vadodara

Shift: 2 PM to 11 PM IST

Work Mode: Hybrid

Preferred: Immediate Joiners