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 (277 CA, 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 ro...