Role Overview :

We are looking for an experienced Automation Test Engineer with strong expertise in UI automation and healthcare insurance domain testing. The role will focus on validating Oracle Health Insurance (OHI) service definitions, medical coding configurations, claims adjudication, eligibility, benefits, authorizations, and related product rules.

Key Responsibilities :

- Validate OHI service definitions, including diagnosis and procedure mappings, benefit routing, priorities, and product-specific rules.

- Verify Medical Coding Spine data and ensure prerequisite configurations are correctly maintained.

- Design and execute functional, regression, integration, and end-to-end test scenarios for healthcare insurance applications.

- Test claims adjudication workflows covering approvals, rejections, manual reviews, pre-authorizations, benefit limits, and exception scenarios.

- Validate eligibility and benefit processing, including coverage limits, waiting periods, deductibles, co-insurance, and other policy rules.

- Prepare, configure, and manage comprehensive test data covering members, policies, providers, authorizations, claims, services, diagnoses, procedures, and benefit configurations.

- Develop and maintain automated UI test scripts for critical application workflows and business scenarios.

- Execute automated regression suites and analyze failures to identify application defects, test-data issues, or environment-related problems.

- Maintain reusable automation frameworks, test scripts, test libraries, and supporting documentation.

- Perform defect identification, logging, tracking, and verification.

- Collaborate with developers, business analysts, product owners, and QA teams.

Technical Skills :

- Strong experience in UI automation testing using Selenium, Playwright, Cypress, or equivalent.

- Strong understanding of functional, regression, integration, system, and end-to-end testing.

- Experience validating complex business rules and data-driven workflows.

- Experience working with databases and SQL for test-data validation and backend verification.

- Familiarity with CI/CD-based automation execution and version-control systems such as Git.

Healthcare / Insurance Domain Expertise :

- Strong understanding of healthcare insurance or health insurance claims processing.

- Experience testing claims adjudication systems and complex benefit rules.

- Knowledge of eligibility, benefits, deductibles, co-insurance, waiting periods, limits, and pre-authorization workflows.

- Understanding of medical diagnosis and procedure coding and related mappings.

Soft Skills :

- Excellent verbal and written communication skills.

- Strong analytical and problem-solving abilities.

- Ability to work independently as well as collaboratively in a cross-functional team.

- Ability to work effectively in an Agile/Scrum development environment.