2 Health care administration Jobs in Chennai | Health care administration Job openings in Chennai

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).

Hi Folks, we are currently Hiring for Security Engineer.

Gemini said

Hiring: Security Engineer

Company : Pentabay Softwares

Location : Anna salai, Mount Road

Mode: Fulltime

Pentabay Softwares INC is looking for a proactive Security Engineer (2–7 Years Exp) to fortify our global digital solutions. As we scale our footprint in the Healthcare IT sector, you will play a critical role in safeguarding sensitive data (ePHI) and ensuring our cloud-native architectures are resilient against evolving threats.

The Mission

You will be the architect of our defense, bridging the gap between high-speed development and rigorous security standards. Your day-to-day will involve "shifting security left" by embedding DevSecOps practices into our CI/CD pipelines and leading our compliance efforts for SOC 2, ISO 27001, and HIPAA.

Key Responsibilities

Defense & Architecture: Design and maintain secure cloud (AWS/Azure/GCP) and on-prem environments. Implement IAM policies, Zero Trust frameworks, and robust secrets management.

Offensive Testing: Conduct regular vulnerability assessments (VAPT), penetration testing, and code reviews using tools like Burp Suite and Nessus.

DevSecOps & Automation: Integrate SAST/DAST/SCA scanning into engineering workflows. Automate security tasks using Python or Bash.

Incident Response: Monitor SIEM tools (Splunk/CrowdStrike), respond to threats, and develop risk mitigation strategies.

Healthcare Compliance (Plus): Ensure data integrity for HL7/FHIR APIs and maintain HIPAA/HITECH audit readiness for healthcare clients.

What You Bring

Experience: 2–7 years in Information/Application Security with a strong grasp of the OWASP Top 10 and threat modeling (STRIDE).

Technical Depth: Proficiency in network/endpoint security, PKI, encryption standards (TLS/SSL), and container security (Docker/Kubernetes).

Compliance Knowledge: Familiarity with NIST, GDPR, and SOC 2 frameworks.

Tools: Hands-on experience with Metasploit, Wireshark, and Infrastructure-as-Code (Terraform).

Bonus Points: Industry certifications like OSCP, CISSP, or CEH, and experience in Healthcare IT workflows.

Auditing space like ISO27001 , ISO9001 prefered

Why Pentabay?

At Pentabay, we offer more than just a job; we offer a security-first engineering culture.

Growth: A dedicated learning budget for certifications and conferences.

Impact: Work on cutting-edge Healthcare projects that demand the highest levels of data privacy.

Send resumes to : sandhiya.m at pentabay.com