C2C-EDI Test Lead - Philadelphia, PA (Hybrid) 18513-1

Hi,


I hope this email finds you well.

My name is Mayank, and I am a Technical Recruiter from Empower
Professionals Inc. We are sourcing "EDI Test Lead" role located at
Philadelphia, PA.



Please share the updated resume with the candidate's location and work
authorization.



Role: EDI Test Lead (18513-1)
Location: Philadelphia, PA (Hybrid)
Duration: 12+ Months



Requirements:

EDI 27X transactions (We need EDI Test Lead )
HIPAA and X12 standards, ANSI X12, and EDI validation
Testing tools (e.g., Edifecs, Postman, SoapUI, SQL,
Medicare, Medicaid, and Commercial Payers.
SQL queries to validate backend data
We are seeking an experienced US Healthcare EDI Test Lead to oversee
and manage the testing of EDI 27X transactions (270/271, 276/277, 278,
etc.).
The ideal candidate will have a strong background in healthcare EDI
transactions, testing methodologies, and compliance with HIPAA and ANSI
X12 standards.



Responsibilities:

Lead the testing efforts for 27X EDI transactions (Eligibility &
Benefit Inquiry/Response, Claim Status, Prior Authorization, etc.).
Develop test strategies, test plans, and test cases for EDI
transactions.
Conduct functional, integration, regression, and end-to-end testing
of EDI transactions.
Validate EDI files for structure, compliance, and business rules.
Perform data mapping and verification against HIPAA and X12
standards. Collaborate with business analysts, developers, and external
trading partners to resolve EDI-related issues.
Utilize testing tools (e.g., Edifecs, Postman, SoapUI, SQL, etc.) to
validate EDI transactions.
Identify, document, and track defects using JIRA, HP ALM, or similar
tools.
Ensure compliance with HIPAA, ANSI X12, and other regulatory
requirements. Provide guidance and mentorship to junior testers.
Support UAT (User Acceptance Testing) and coordinate with
stakeholders for sign-off. Required Skills & Qualifications: 10+ years
of experience in US Healthcare EDI testing.
Strong expertise in EDI 27X transactions (270/271, 276/277, 278,
etc.).
Hands-on experience with HIPAA X12, ANSI X12, and EDI validation
tools.
Experience with SQL queries to validate backend data. Familiarity
with EDI tools like Edifecs or equivalent.
Strong knowledge of Medicare, Medicaid, and Commercial Payers.
Experience with API testing (SOAP/REST) is a plus.
Excellent problem-solving and debugging skills. Strong communication
and leadership skills to manage testing teams and stakeholders.







Thanks

Mayank Verma

Technical Recruiter | Empower Professionals

......................................................................................................................................

mayank@empowerprofessionals.com | LinkedIn:
https://www.linkedin.com/in/mayankdverma/

Fax: 732-356-8009 | 100 Franklin Square Drive – Suite 104 | Somerset, NJ
08873

www.empowerprofessionals.com

Certified NJ and NY Minority Business Enterprise (NMSDC)

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