Senior Quality Engineer – Facets (Healthcare Payer)

Senior Quality Engineer / Test Engineer – Facets (Healthcare Payer)

Domain: Healthcare / Healthcare Payer
Primary Technology: Facets
Specialization: Functional Testing, Regulatory Testing, Integration Testing & Data Validation

Job Summary

We are seeking an experienced Quality Engineer / Test Engineer with strong expertise in the Facets platform and healthcare payer domain.

The ideal candidate will have hands-on experience in testing healthcare payer applications, particularly Claims, Eligibility, Enrollment, and related business processes. The candidate should be capable of developing and executing risk-based testing strategies to validate business requirements, regulatory compliance, application integrations, and end-to-end data flows.

This role will collaborate closely with business analysts, regulatory teams, solution architects, developers, and business stakeholders to ensure the quality, accuracy, and reliability of healthcare applications before production releases.

Key Responsibilities

1. Test Strategy & Planning

• Develop and execute risk-based test strategies, test plans, test scenarios, and test cases.

• Analyze business requirements, functional specifications, and regulatory requirements to identify testing needs.

• Define test coverage, acceptance criteria, and testing approaches for business-critical applications.

• Maintain traceability between requirements, test cases, test execution results, defects, and regulatory outcomes.

2. Facets & Healthcare Payer Testing

• Perform functional and end-to-end testing across the Facets platform.

• Validate healthcare payer business processes, including:

  • Claims Processing

  • Member Eligibility

  • Enrollment

  • Claims Adjudication

  • Member and Provider Data

• Validate business rules, application workflows, and transaction processing within Facets.

• Ensure accurate processing of healthcare payer transactions across integrated applications.

3. Regulatory & Compliance Testing

• Validate regulatory and business requirements implemented within healthcare applications.

• Ensure application functionality meets defined regulatory specifications and acceptance criteria.

• Develop and execute test scenarios covering regulatory changes and business-critical requirements.

• Identify compliance gaps and validate corrective fixes before production deployment.

• Maintain testing evidence and documentation to support regulatory traceability and audit requirements.

4. Integration & Data Validation

• Perform system integration, end-to-end, and regression testing across healthcare applications.

• Validate data movement between upstream and downstream systems.

• Verify data accuracy, completeness, consistency, and transformation across integrated platforms.

• Validate Claims and Eligibility transactions across Facets and connected applications.

• Identify data discrepancies, interface failures, and integration-related defects.

5. Defect Management & Troubleshooting

• Lead or participate in defect triage and prioritization activities.

• Analyze defects, identify root causes, and coordinate resolution with development and engineering teams.

• Perform defect retesting and validate closure criteria.

• Track defects through their lifecycle and ensure timely resolution.

• Support critical issue investigation and production validation activities.

6. Release & Production Readiness

• Support release readiness assessments for regulatory and business-critical deployments.

• Execute regression and end-to-end testing before production releases.

• Perform post-deployment and production validation.

• Collaborate with engineering and business teams to ensure release quality.

• Communicate testing progress, risks, issues, and release readiness status.

7. Collaboration & Continuous Improvement

• Work closely with Business Analysts, Regulatory Analysts, Solution Architects, Engineers, and business stakeholders.

• Participate in requirement walkthroughs, design reviews, and testing discussions.

• Recommend improvements to test coverage, testing pro