About the Role
As a Senior Healthcare QA Manager – Facets Claims & Medicare, you will make an impact by ensuring the quality, accuracy, and reliability of healthcare claims processing solutions within large-scale Facets transformation and migration initiatives. You will be a valued member of the Quality Engineering team and work collaboratively with business stakeholders, Facets configuration teams, developers, and testing teams to deliver high-quality healthcare payer solutions.
In This Role, You Will
Perform end-to-end testing of Facets Claims processing applications to ensure accurate claim adjudication and business rule execution.
Execute large-scale parallel testing by comparing Legacy and Facets claims processing results and identifying discrepancies.
Validate Medicare claims processing workflows, configuration changes, and business requirements within the Facets platform.
Design, develop, and execute functional, integration, system, and regression test cases and test scenarios.
Conduct backend validation using SQL, database queries, and healthcare claims data analysis.
Analyze high-volume claims processing results and support quality assurance activities for large-scale healthcare transformation programs.
Participate in defect triage sessions, perform root cause analysis, and validate defect fixes.
Collaborate closely with business, configuration, development, and QA teams to ensure successful project delivery.
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
10+ years of strong hands-on experience in Facets Claims Testing within healthcare payer environments.
Deep understanding of healthcare payer claims adjudication processes and claims lifecycle management.
Experience performing end-to-end front-end and backend validation of Facets Claims applications.
Strong SQL skills with the ability to perform data validation, reconciliation, and backend testing.
Experience testing Medicare Claims processing workflows and business rules.
Proven experience supporting large-scale healthcare transformation, modernization, or Facets migration programs.
Ability to work independently in a hands-on testing role while managing multiple priorities.
These Will Help You Stand Out
Knowledge of healthcare EDI transactions, including 837 and 835 transaction sets.
Experience working with federal healthcare programs, including CMS and Medicare initiatives.
Exposure to test automation frameworks and automation testing practices.
Experience with healthcare data migration and conversion testing.
Prior experience working in large-scale payer transformation and Facets modernization programs.
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.
Salary and Other Compensation
The annual salary for this position is between $71,100 to $112,500 depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits
• 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
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
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。
