Senior Healthcare EDI QA Test Engineer with Claims, Provider, Managed Care

Infinite Computer Solutions is a company specializing in healthcare technology solutions, and they are seeking a Senior QA Engineer responsible for validating healthcare applications and data systems during their transition to cloud platforms. The role requires expertise in cloud migration testing, compliance, and the management of critical healthcare workloads.

Responsibilities:

• Looking for Claims, Provider, Managed Care, TMSIS (Transformed Medicaid Statistical Information System) and Financial
• Performance & Scalability Testing
• Benchmark pre‑migration vs. cloud performance for critical healthcare workloads
• Validate system response time for clinical operations where delays can impact patient care
• Test scalability of telehealth systems, patient portals, and claims processing during peak load
• Validate cloud‑native performance characteristics: autoscaling, network latency, and throughput
• Security, Compliance & Risk Validation
• Ensure healthcare cloud security standards: encryption, IAM, MFA, key management, secure access controls
• Validate HIPAA, HITRUST, SOC 2, GDPR (if applicable) compliance post‑migration
• Test audit trails, data retention policies, ePHI handling procedures, and log monitoring
• Identify misconfigurations that could expose PHI or violate clinical regulatory requirements
• Automation Framework Development
• Build scalable automation frameworks (Selenium, Playwright, Cypress, RestAssured, etc.)
• Enhance regression automation for clinical workflows, claims, and API interactions
• Apply design patterns (POM, Screenplay) and cloud‑native automation practices
• Utilize AI‑assisted automation tools while performing high‑scrutiny validation
• CI/CD & DevOps Integration
• Integrate automated tests into CI/CD pipelines used for healthcare cloud deployments
• Support automated deployments across environments using Docker, Kubernetes, and cloud‑native services
• Work with DevOps teams to ensure compliance, monitoring, and traceability in deployment pipelines
• Risk‑Based Validation & Critical Thinking
• Identify high‑risk areas impacting patient safety, compliance, or revenue cycle
• Validate data ingestion and ETL workflows for labs, imaging, claims, and clinical data feeds
• Apply critical thinking to validate AI‑generated tests or automated outputs
• Cross‑Functional Collaboration
• Partner with Cloud Engineers, Healthcare SMEs, Clinical Analysts, DevOps, and Product Teams
• Collaborate with compliance teams for HIPAA/HITRUST verification
• Provide detailed test reports, go‑live readiness assessments, and risk mitigation plans

Requirements:

• Strong hands‑on experience with AWS/Azure/GCP cloud platforms
• Expertise in functional, integration, performance, and security testing for healthcare workloads
• Proficiency in healthcare interoperability standards: HL7, FHIR, DICOM, EDI‑837/835
• Strong experience with API testing (Postman, RestAssured)
• Automation expertise using Selenium, Playwright, Cypress, or similar tools
• Knowledge of CI/CD tools (Jenkins, GitHub Actions, GitLab, Azure DevOps)
• Experience with containers and orchestration: Docker, Kubernetes
• PHI data validation, HIPAA compliance verification
• Validation of EHR/EMR applications (Epic, Cerner, Meditech, etc. preferred)
• Claims, billing, and payer‑provider workflow testing
• ETL/data‑pipeline validation for clinical and operational datasets
• Understanding of healthcare compliance frameworks: HIPAA, HITRUST, NIST
• Strong analytical and critical‑thinking abilities, especially in regulated environments
• Exceptional communication for working with clinical and non‑technical teams
• Ability to lead QA strategy for large‑scale healthcare cloud migration programs
• Certifications such as: AWS Cloud Practitioner / Azure Fundamentals
• ISTQB Advanced Level
• HITRUST Practitioner (CCSFP) or Healthcare Industry Certifications
• Experience with AI‑assisted testing or validating AI/ML healthcare models