Data/ETL Engineer

About the Role

Quality Assurance Engineer - Healthcare Interoperability.

Responsibilities

• Validate FHIR-based APIs and workflows for compliance with FHIR R4 and implementation guides.
• Design and execute interoperability test scenarios and test cases across payer–provider systems.
• Perform end-to-end testing of prior authorization and utilization management workflows.
• Validate data quality, terminology bindings, and profile conformance.
• Collaborate with product, engineering, and business teams within a US healthcare payer environment.
• Ensure adherence to regulatory requirements and improve first-pass success rates.
• Design and develop all QA artifacts.
  
  

Required Skills

• Strong knowledge of FHIR standard (R4), REST APIs, and healthcare interoperability (mandatory).
• Experience with Utilization Management / Prior Authorization workflows/EDI X12 278 (highly desirable).
• Familiarity with US healthcare payer systems (highly desirable).
• Expertise in API testing and tools such as Postman, SOAP UI, etc. (preferred).
  
  

Desirable Skills

• N/A
  
  

Education Qualification

• N/A.