Senior Software QA Engineer

OverviewMitchell International, Inc. (enlYte) is seeking a Senior Software QA Engineer. This is a full-time remote position in the U.S. We combine technology, clinical expertise, and human compassion to support recovery after workplace injuries or auto accidents, delivering industry-leading solutions and services. Join a collaborative environment focused on excellence, growth, and meaningful impact.Be part of a team that makes a real difference.ResponsibilitiesLead comprehensive testing strategies for Workers Compensation medical bill review workflows, complex fee schedule calculations, and multi-state regulatory complianceDesign and execute advanced test scenarios for utilization review processes including complex medical necessity algorithms, prior authorization workflows, and clinical decision support systemsArchitect and validate sophisticated API integration testing for real-time medical provider data exchange, eligibility verification systems, and claims processing workflowsLead EDI transaction testing initiatives including X12 837 (Healthcare Claims), X12 835 (Healthcare Claim Payment/Advice), X12 278 (Healthcare Services Review), and X12 270/271 (Eligibility) processing across multiple clearinghousesDevelop innovative test methodologies and standards for medical billing validation, complex CPT/ICD coding scenarios, API endpoint performance optimization, and EDI compliance validationDrive integration testing with medical provider networks, pharmacy benefit management systems, third-party medical review services, and healthcare clearinghouses through API and EDI channelsLead root cause analysis for complex defects in medical billing calculations, treatment authorization workflows, API response handling, and EDI transaction processingEnsure compliance testing for multi-state Workers Compensation fee schedules, medical treatment guidelines, HIPAA EDI standards, and evolving regulatory requirementsDesign and implement advanced API security testing protocols, authentication mechanisms, and data encryption validation for healthcare information exchangeLead EDI acknowledgment processing validation, error handling optimization, and transaction retry logic for complex medical bill submission scenariosCreate comprehensive product evaluation reports and testing documentation that drives strategic decisions for medical billing accuracy, utilization review optimization, API performance enhancement, and EDI transaction reliabilityMentor junior QA team members and serve as informal team leader for complex testing initiativesProactively identify systemic issues in medical bill review algorithms, utilization management rules, API architecture, and EDI transaction frameworksCollaborate with development engineers, clinical subject matter experts, and product managers to resolve complex problems and drive architectural improvements in medical workflow automationLead code/design reviews for healthcare-specific features, API specifications, and EDI implementation standardsQualificationsExperience: Minimum 4-6 years of software quality assurance experience with demonstrated expertise in healthcare, medical billing, or Workers Compensation systemsAdvanced API Testing: Expert-level experience testing REST/SOAP APIs, complex JSON/XML data transformations, microservices architectures, and web services integrationEDI Expertise: Deep understanding of EDI standards, healthcare transactions (X12 837, 835, 278, 270/271), transaction processing optimization, and compliance validation across multiple trading partnersHealthcare Domain Knowledge: Strong understanding of medical billing processes, CPT/ICD coding complexities, utilization review concepts, and Workers Compensation medical managementIntegration Leadership: Proven experience leading system-to-system integration testing, data mapping validation, and third-party service connectivity initiativesRegulatory Expertise: Advanced familiarity with healthcare compliance requirements, HIPAA EDI standards, and multi-state Workers Compensation regulationsLeadership: Experience serving as informal team leader and mentoring junior QA professionalsStrategic Thinking: Ability to understand implications of testing work and make strategic recommendations for quality improvementsProblem-Solving: Advanced analytical skills to resolve complex testing challenges involving medical billing, API integration, and EDI transaction scenariosInitiative: Demonstrated ability to determine methods and procedures for new assignments with considerable judgment and independenceCommunication: Excellent documentation and presentation skills for technical, clinical, and executive audiencesSalarySalary: Equal employment opportunity, including veterans and individuals with disabilities.PI278081189 #J-18808-Ljbffr

Created: 2025-09-22