3 Health care administration Jobs in Bangalore (Bengaluru) | Health care administration Job openings in Bangalore (Bengaluru)

The EDI QA Analyst works closely with external vendors during implementations to communicate testing expectations, coordinate validation activities, and address vendor feedback. Operating in a production-adjacent environment, the role ensures data accuracy, file integrity, and carrier readiness through structured test planning, test data preparation, scenario validation, defect identification and classification, and thorough documentation within the carrier file/EDI delivery lifecycle.

In addition, the analyst collaborates cross-functionally with requirements, development, and implementation teams to develop comprehensive test plans, manage testing activities, and work through ticketing queues to ensure timely and high-quality file delivery.

Post-production, the EDI QA Analyst is responsible for ongoing monitoring, review, and resolution of carrier error reports, while identifying trends and opportunities for continuous process improvement.

Key Responsibilities and Duties

Carrier/Vendor File Validation

•     Validate outbound carrier/vendor files (ANSI/HIPAA 834 and related formats) for structural integrity, format compliance, eligibility accuracy, and carrier-specific requirements before transmission.

•     Collaborate with external carriers/vendors and internal teams, including development and operations, to validate file behavior and resolve discrepancies.

Scenario-Based Testing

•     Develop and execute structured test scenarios covering eligibility rules, enrollment transactions, life events, and carrier-specific behaviors across internal and external testing phases.

End-to-End Data Reconciliation

•     Trace and reconcile data from upstream systems through platform outputs to final vendor files using SQL, reports, and control totals to ensure data integrity.

•     Test Planning & Requirements Traceability

o  Translate carrier/vendor and business requirements into structured test plans, reusable test cases, and traceable validation scenarios aligned to standardized templates.

•     Test Data Preparation

o  Identify, prepare, and manage representative test populations across systems and reporting environments to support validation cycles.

•     Defect Identification & Routing

o  Analyze validation results, classify defects (requirements, configuration, data, system issues), and manage QA tickets through defined workflows, ensuring proper routing, status tracking, ownership, and timely closure.

•     Documentation & Continuous Improvement

o  Provide regular status updates on QA progress, risks, and dependencies aligned to timelines and release schedules.

o  Maintain QA documentation (test plans, validation evidence, file layouts, queries, defect patterns) while building reusable test assets, vendor test plan libraries, and supporting future automation initiatives.

o  Help establish and maintain a vendor test plan library in support of all vendor relationships.

o  Drive automation and validation improvements.

•     Production Monitoring & Carrier Error Resolution

o  Review carrier acknowledgement and error reports (e.g., 999, rejection reports)

o  Investigate and resolve rejected records.

o  Coordinate corrections and reprocessing.

o  Ensure timely resolution within SLA.

•     Trend Analysis & Continuous Improvement – Post-production

o  Analyze recurring carrier errors and identify patterns.

o  Provide insights into upstream data or configuration issues.

o  Recommend improvements to reduce rework and increase first-pass success.

Required Qualifications

•     Bachelor’s degree in Computer Science or a related technical field (or equivalent experience).

•     Minimum of 2 years of experience in health insurance or Health & Welfare (H&W) benefits administration.

•     Experience working with carrier files, EDI transactions, or HIPAA 834 files in a production or operational environment.

•     Strong understanding of eligibility and enrollment processes, including effective date logic and life event transactions.

•     Hands-on experience with SQL for data validation, reconciliation, and defect analysis.

•     Strong analytical skills with a high level of attention to detail, especially in regulated environments with low tolerance for error.

Preferred Qualifications

•     Familiarity with QA best practices and Quality Management Systems (QMS), including frameworks that ensure consistent compliance with customer and regulatory requirements while driving continuous improvement and efficiency.

•     Experience with EDI testing and carrier integration environments.

•     Exposure to COBRA processes within benefits administration.

•     Experience with test automation and test case management tools.

•     Familiarity with AI-assisted testing or quality engineering practices.

•     Experience in preparing, validating, and analyzing test data across multiple systems.

•     Solid understanding of data models and relational database concepts.

•     Experience using defect tracking and ticketing systems such as JIRA (or similar tools).

Job Summary

The Healthcare Recruiter will manage the full recruitment lifecycle—from sourcing qualified candidates to onboarding newly hired staff. This role requires strong communication skills, knowledge of healthcare roles, and the ability to build relationships with hiring managers and candidates.

Key Responsibilities

• Source, screen, and recruit candidates for a variety of healthcare positions (RN, LPN, CNA, allied health, administrative, etc.)
• Partner with hiring managers to understand staffing needs and job requirements
• Post job openings across job boards, social media, and recruitment channels
• Conduct interviews and evaluate applicants’ qualifications and fit
• Manage applicant tracking system (ATS) and maintain accurate records
• Coordinate interviews, job offers, background checks, and onboarding
• Build and maintain a network of healthcare professionals
• Represent the company at career fairs, community events, and virtual recruiting sessions
• Ensure compliance with company policies, labor laws, and industry regulations
• Contribute to recruitment strategy improvements and workforce planning

Qualifications

• Bachelor’s degree in Human Resources, Business, Healthcare Management, or related field (preferred)
• 1–3 years of recruiting experience; healthcare recruiting strongly preferred
• Familiarity with healthcare roles, certifications, and licensure requirements
• Experience using ATS platforms and sourcing tools (Indeed, LinkedIn, etc.)
• Strong interpersonal, communication, and negotiation skills
• Ability to manage multiple requisitions in a fast-paced environment

Key Skills

• Talent sourcing & pipeline building
• Candidate relationship management
• Healthcare industry knowledge
• Interviewing & assessment
• Time management & organization
• Professional communication
• Attention to detail

Why Join Us?

• Competitive salary and bonus potential
• Health, dental, and vision insurance
• Paid time off and holidays
• Opportunities for career growth and professional development
• Supportive, mission-driven work environment

• Perform complex and varied applications support. Build, maintain & modify within a large environment;
• Identify issues, evaluate possible solutions, and make recommendations on the most appropriate action
• Design, build, test, and document solution-specific information and perform related work as required.
• Demonstrate functional knowledge in relevant clinical applications (OE-PCS-PHA-EDM-ITS-RAD-LAB-MIC-BBK-PTH)
• Demonstrate functional knowledge in Clinical Documentation
• Must have hands-on build and troubleshooting experience
• Must be able to quickly identify and resolve complex system issues
• Must be able to build using technical specifications.

Basic Qualifications:

• Implementation and support experience within a MEDITECH Environment
• Bachelors Degree in business, Healthcare Administration, Communication, Marketing related field or equivalent and relevant work experience

Preferred Qualifications:

• Knowledge of ITIL Incident, Problem, and Change management,
• Working knowledge of Agile, Product and Project methodologies