Senior Healthcare Payer Claims QA Engineer
About the role
As a Senior Quality Engineer - Healthcare Claims Testing, you will make an impact by ensuring the quality, accuracy, and reliability of healthcare payer claims processing solutions through comprehensive testing, automation, and data validation. You will be a valued member of the Quality Engineering team and work collaboratively with business analysts, product owners, developers, healthcare operations teams, and client stakeholders to deliver high-quality healthcare solutions.
In this role, you will:
- Analyze healthcare claims requirements, business rules, and user stories to develop comprehensive test strategies, test scenarios, and test cases aligned with business objectives.
- Execute functional, integration, regression, and end-to-end testing across healthcare claims processing workflows, ensuring accurate adjudication outcomes.
- Validate pre-adjudication logic, claim edits, rejects, pend scenarios, pricing calculations, and downstream claims processing activities.
- Perform EDI/X12 transaction testing, with a focus on 837 Professional (837P), 837 Institutional (837I), and related healthcare claims interfaces.
- Conduct SQL-based data validation, reconciliation, and test data preparation to support testing activities and ensure data integrity.
- Investigate defects, perform root cause analysis, collaborate with development teams, and drive issues through successful resolution.
- Develop, maintain, and execute automated test scripts using Selenium, Playwright, or comparable automation frameworks.
- Perform API and integration testing to validate data exchange between payer platforms, claims systems, provider interfaces, and downstream applications.
Work model
We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured, we will always be clear about role expectations.
What you need to have to be considered
- Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.
- 7+ years of experience in software testing within Healthcare Payer claims processing environments.
- Strong understanding of the healthcare claims lifecycle, including pre-adjudication, business validations, claim edits, rejects, pend processing, and claims outcomes.
- Hands-on experience testing EDI/X12 healthcare transactions, particularly 837 Professional (837P) and 837 Institutional (837I) transactions.
- Advanced SQL and database testing skills, including backend validation, data analysis, and reconciliation activities.
- Experience performing API, integration, and end-to-end testing across complex healthcare ecosystems.
- Strong defect management, root cause analysis, and problem-solving capabilities.
- Experience working within Agile delivery environments using modern testing and quality engineering practices.
These will help you stand out
- Experience working with PEGA-based healthcare solutions.
- Hands-on automation testing experience using Selenium, Playwright, or similar automation frameworks.
- Knowledge of healthcare payer platforms, claims adjudication engines, and provider integration models.
- Experience leveraging AI-powered testing tools and Generative AI capabilities for test case generation, test optimization, defect prediction, and quality engineering acceleration.
- Exposure to CI/CD pipelines and test automation strategies supporting continuous delivery initiatives.
Benefits:
Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
- Medical/Dental/Vision/Life Insurance.
- Paid holidays plus Paid Time Off.
- 401(k) plan and contributions.
- Long-term/Short-term Disability.
- Paid Parental Leave.
- Employee Stock Purchase Plan.
Compensation
The annual salary for this position ranges from $90,000 to $112,500, depending on experience and qualifications. This role is also eligible for Cognizant’s discretionary annual incentive program, subject to performance and applicable plan terms.
We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role
关于高知特 (Cognizant)
高知特(Cognizant)（纳斯达克代码：CTSH）作为一家AI Builder和相关技术服务提供商，致力于通过打造全栈AI解决方案，帮助企业将人工智能投资转化为实际价值。公司凭借深厚的行业经验、流程优化和工程技术专长，将企业独特的业务场景融入科技系统，赋能组织释放人才潜能，推动切实成果，并帮助全球企业在瞬息万变的环境中保持领先。如需了解更多详情，敬请访问 cognizant.ai 或关注@cognizant。
补充雇佣信息
薪酬信息截至本职位发布之日为准。Cognizant 保留在适用法律允许的范围内随时修改该信息的权利。
申请人可能需要通过现场面试或视频会议的方式参加面试。此外，候选人在每次面试时可能需要出示其当前所在州或政府签发的有效身份证件。
Cognizant 是一家提供平等就业机会的雇主。在招聘过程中，您的申请和候选资格不会因种族、肤色、性别、宗教、信仰、性取向、性别认同、国籍、残疾、遗传信息、怀孕、退伍军人身份或任何其他受联邦、州或地方法律保护的特征而受到影响。
