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Lumen Solutions Group Inc.

Lumen Solutions Group Inc. is hiring: Manual Tester – EDI Claims (Healthcare Dom

Lumen Solutions Group Inc., Baltimore, MD, United States, 21276

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Location: Remote (EST/CST preferred)
Type: Contract

We are seeking a Senior Manual QA Tester with strong experience in Healthcare Claims (EDI 837) testing to join our team. The ideal candidate will have a deep understanding of claims processing, test lifecycle management, and healthcare payer systems.

Role Overview

As a Manual QA Tester (EDI Claims), you will be responsible for analyzing requirements, designing and executing test cases, validating EDI transactions, and ensuring high-quality software delivery. You’ll work closely with business analysts, developers, and other QA professionals to identify defects and ensure smooth claims processing and adjudication.

Key Responsibilities

  • Design, execute, and maintain manual test cases for healthcare claims (837 EDI transactions).
  • Validate claims data across various systems, ensuring accuracy in claims processing and adjudication.
  • Perform functional, integration, and regression testing within healthcare applications.
  • Manage and track defects using tools such as Jira or similar test management platforms.
  • Work collaboratively across development and business teams to ensure defect-free releases.
  • Execute SQL queries to validate backend data during testing.
  • Document test results, provide detailed issue reports, and contribute to continuous process improvement.
  • Understand and follow STLC processes end-to-end.

Required Skills & Experience

  • 8+ years of overall software testing experience, with 3-4 years as a Senior QA Tester.
  • Strong background in healthcare domain, specifically EDI 837 claims processing and adjudication.
  • Experience with ITS claims / Interplan claims is a strong plus.
  • Hands-on experience with Jira or similar test management tools.
  • Basic SQL knowledge for data validation and backend testing.
  • Experience with Facets platform is highly preferred.
  • Knowledge of STLC, defect management, and functional testing methodologies.
  • Exposure to automation testing tools is a plus (not mandatory).
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