About the role
As a Senior Healthcare API Integration Quality Engineer, you will make an impact by validating complex healthcare integrations that support CMS Burden Reduction and Interoperability initiatives. You will be a valued member of a cross‑functional delivery team, working collaboratively with product owners, architects, developers, and quality leaders to ensure regulatory compliance, data integrity, and high‑quality API‑driven integrations across healthcare systems.
This role is heavily focused on API testing and HL7 FHIR‑based integrations, supporting large‑scale, mission‑critical healthcare platforms.
In this role, you will:
Lead and execute end‑to‑end API and integration testing for CMS Burden Reduction and interoperability initiatives.
Validate HL7 FHIR‑based REST APIs, including payloads, schemas, headers, authentication, and error handling.
Perform deep integration validation across upstream and downstream systems and external integration partners.
Ensure data accuracy, integrity, and regulatory compliance across complex API workflows.
Contribute to test strategy and planning during PI Planning, including scenario coverage, dependencies, risks, and regression impact.
Define and review acceptance criteria using GIVEN‑WHEN‑THEN format.
Design, automate, and execute end‑to‑end test scenarios (positive, negative, and integration).
Collaborating with product owners, architects, developers, RTEs, and QE leads on defect management, release readiness, and post‑production validation.
Maintain accurate and timely updates in Jira for test execution, defects, and feature validation.
Work model
At Cognizant, we strive to provide flexibility wherever possible, and we are here to support a healthy work‑life balance through our various wellbeing programs. Based on this role’s business requirements, this is an onsite position requiring 5 days a week in a client or Cognizant office. This role is open to qualified applicants in the following locations:
Bloomfield, CT (preferred)
Franklin, TN (secondary)
The working arrangements for this role are accurate as of the date of posting and may change based on business or client needs. We will always be clear about role expectations.
What you need to have to be considered
5+ years of experience in end‑to‑end or integration quality engineering.
Strong hands‑on API testing expertise (must‑have).
Extensive experience using Postman for API validation.
Strong knowledge of HL7 FHIR, healthcare interoperability, and CMS Burden Reduction initiatives.
Experience testing REST APIs across complex integration workflows.
Strong experience using Jira for test and defect management.
Experience working in Agile or SAFe delivery environments.
These will help you stand out
Experience using Playwright for API and UI integration scenarios.
Exposure to CI/CD‑aligned testing practices.
Experience with Nucural or similar healthcare data platforms.
Ability to work effectively with multiple stakeholders across engineering, product, and architecture teams.
Strong communication skills and comfort participating in system demos, design walkthroughs, and release retrospectives.
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 innovative ideas to this role.
Salary and Other Compensation
The annual salary for this position is between $53,477 to $92,500, 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:
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
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*
What we offer
- The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
- Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
- The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
- A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
- Flexible health and financial benefits to support you and your eligible dependents—from day one.
- True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.
About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.
Other employment-related information
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.










