QA Manager with Healthcare EDI Claims 837, 835

• *About Infinite:** Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes. With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency. • *Job Description:** • Lead end-to-end testing activities for healthcare projects, including requirement analysis, test planning, test estimation, and risk assessment. • Develop • *test plans, and test schedules** . • Design, review, and execute • *test cases, test scripts, and test scenarios** for claims processing systems. • Ensure full test coverage of • *claims lifecycle** : intake, validation, adjudication, pricing, benefits application, provider contracting, and payment. • Validate • *EDI transactions (e.g., 837, 835, 270/271, 276/277)** and ensure compliance with HIPAA standards. • Interfaces exchange files validation and operational reports validation. • Identify defects, perform root cause analysis, and drive resolution. • Work closely with business SMEs to understand payer policies, benefits, provider contracts • Validate claim accuracy against benefit rules, pricing and configuration settings. • Lead daily defect triage meetings, status reporting, and quality updates. • Ensure alignment with compliance, audit, and documentation standards. • Coordinate and oversee the work of onshore/offshore QA teams. • Experience with healthcare Application such as • *QNXT** or similar. • Experience in MMIS • *Tools & Technologies preferred** • Healthcare claims platforms ( QNXT) • Test management tools (ALM, JIRA) • API/Postman for API testing • SQL for backend/data validation • Must have lead experience prior with daily/weekly status reporting