Integration QA, BA

Job not on LinkedIn

🕒 June 30

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

🔧 QA Engineer (Quality Assurance)

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Indium

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🏥 Healthcare

🏭 Manufacturing

💰 $1M Venture Round on 2006-04

Consulting • Healthcare • Manufacturing

Indium is a fast-growing, AI-driven digital engineering services company, developing cutting-edge solutions across applications and data. They specialize in areas such as product engineering, intelligent automation, data analytics, and quality engineering, catering to various industries including BFSI and healthcare. Indium focuses on delivering customer-centric experiences and innovative solutions to enhance business processes and drive digital transformation.

📋 Description

• Collaborate with business stakeholders to gather, analyze, and document functional and integration requirements • Design and support integration solutions between payer systems, TPAs, providers, and third-party applications • Analyze and validate EDI 834 enrollment, EDI 837 healthcare claims, and EDI 835 claim payment/remittance transactions • Define integration requirements using FHIR data models, resources, and REST APIs • Work with technical teams to map healthcare data between source and target systems • Provide functional expertise across enrollment, eligibility, claims, billing, and contribution accounting processes • Review integration designs for alignment with business requirements and healthcare interoperability standards • Support testing activities, defect triage, and production validation • Work with integration developers using Devant, WSO2, or similar middleware technologies • Prepare business requirements, functional specifications, process flows, interface documents, and mapping specifications • Support production issue analysis and recommend process improvements

🎯 Requirements

• 7+ years of experience in the healthcare or health insurance industry • Experience with EDI 834, EDI 837, and EDI 835 transactions • Experience with FHIR-based data models, resources, and REST APIs • Deep understanding of the U.S. health insurance ecosystem, including Enrollment & Eligibility, Billing & Payments, Claims Processing, Contribution Accounting, and System Integrations • Strong understanding of healthcare message types and their business purposes • Experience working with Third-Party Administrators (TPAs) or payer organizations • Experience creating interface specifications, data mapping documents, and functional requirements • Strong analytical and problem-solving skills • Strong stakeholder management skills • Excellent communication skills and ability to bridge business and technical teams • Fundamental understanding of Devant, WSO2, or similar enterprise integration platforms • Knowledge of HL7 and X12 healthcare interoperability standards • Familiarity with API integration, middleware platforms, and enterprise integration patterns • Exposure to Agile/Scrum delivery methodologies • Experience with cloud-based healthcare integration solutions is an added advantage • Relevant certifications in health insurance, healthcare analytics, or related areas would be an advantage

🏖️ Benefits

• Diversity, equity, and inclusion initiatives • Dedicated DEI council • Expert sessions • Tailored training • WE@IN women empowerment program • DEI calendar • Inclusive workplace culture