About the role
As a Senior Healthcare Payer Claims Test Engineer, you will help ensure the quality, accuracy, and reliability of healthcare payer claims-processing applications and integrations. You will work closely with business, development, and quality engineering teams to validate complex claims workflows, EDI/X12 transactions, backend data, and downstream claim outcomes.
In this role, you will
Analyze healthcare claims requirements, user stories, and business rules to develop comprehensive test scenarios and test cases.
Execute functional, regression, integration, and end-to-end testing across healthcare payer claims-processing workflows.
Validate the claims lifecycle, including pre-adjudication logic, business validations, claim edits, rejects, pend scenarios, and downstream claim outcomes.
Perform EDI/X12 transaction testing with a strong focus on 837 Professional (837P) and 837 Institutional (837I) transactions and related healthcare claims interfaces.
Perform SQL and database validation, data analysis, reconciliation, and test-data preparation to support test execution.
Conduct API and integration testing to validate accurate data exchange between upstream and downstream applications.
Investigate defects, perform root-cause analysis, collaborate with development teams, and drive issues through resolution and closure.
Develop, maintain, and execute automated test scripts using Selenium, Playwright, or similar automation frameworks, while leveraging AI-assisted testing techniques where applicable.
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 are 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 field.
8+ years of software testing experience within Healthcare Payer claims-processing environments.
Strong hands-on experience testing Healthcare Payer claims applications and workflows.
Strong understanding of the end-to-end claims’ lifecycle, including pre-adjudication, business validations, claim edits, rejects, pend processing, and downstream claim outcomes.
Hands-on experience testing EDI/X12 healthcare claims transactions, particularly 837P and 837I.
Strong SQL and database-testing skills, including backend data validation, reconciliation, and test-data preparation.
Experience creating and executing functional, regression, integration, and end-to-end testing for complex claims-processing workflows.
These will help you stand out
Knowledge of PEGA-based healthcare solutions.
Experience with API and integration testing using modern testing tools and methodologies.
Hands-on automation experience using Selenium, Playwright, or similar test-automation frameworks.
Experience using AI-powered testing tools or GenAI capabilities for test-case generation, test optimization, automation acceleration, defect prediction, or other quality-engineering activities.
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 $96,000 to $110,000 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
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。
