About the role
As a Senior Healthcare API Integration QA Engineer, you will make an impact by validating complex, API-driven healthcare integrations supporting the CMS Burden Reduction and CMS Interoperability initiatives. You will be a valued member of the Quality Engineering team and work collaboratively with Product Owners, Architects, Developers, and Program Leadership to ensure regulatory compliance, data integrity, and high-quality end-to-end system integrations.
In this role, you will:
• Own 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 API validation across upstream and downstream systems and external integration partners
• Ensure data accuracy, integrity, and regulatory compliance across complex healthcare API workflows
• Contribute to test strategy during PI Planning, including scenarios, dependencies, risks, and regression impact
• Participate in Agile and SAFe ceremonies, including Pre‑PI Planning, PI Planning, sprint planning, daily stand‑ups, system demos, and release retrospectives
• Design, automate, and execute end-to-end test scenarios (positive, negative, and integration-focused)
• Define and review acceptance criteria using GIVEN–WHEN–THEN format
• Estimate testing effort for assigned features and support integrated test environment setup
• Collaborate with cross‑functional teams to manage defects, support post‑production validation, and provide test evidence for feature acceptance
Work model: Onsite
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. 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:
• 5+ years of experience in end-to-end and integration Quality Assurance roles
• Strong, hands‑on experience with API testing (required)
• 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, distributed systems
• Hands-on experience with Playwright for API and UI integration testing
• Experience using Jira for test execution, defect management, and reporting
• Experience working in Agile and SAFe delivery environments
These will help you stand out:
• Experience supporting CMS Interoperability or regulatory healthcare programs
• CI/CD‑aligned testing experience within modern DevOps environments
• Familiarity with Nucural or similar healthcare integration platforms
• Strong communication skills with the ability to collaborate across technical and non‑technical teams
• Experience supporting warranty periods and post‑production validation efforts
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 ideas to this role
Salary and Other Compensation:
The annual salary for this position is between $53,477– $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.
