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*
À propos de Cognizant
Cognizant (NASDAQ : CTSH) est un AI Builder et une entreprise de services numériques (ESN) élaborant des solutions complètes d’IA maximisant les investissements pour des résultats concrets. Sa profonde expertise des métiers, des processus et des technologies lui permet d’intégrer dans les systèmes technologiques le contexte unique de chaque organisation de l’ingénierie à la production à l’échelle. Son objectif : améliorer l’efficacité des équipes, créer de la valeur et permettre aux grandes entreprises de rester performantes dans un monde qui évolue rapidement. Pour en savoir plus : cognizant.ai ou @cognizant.
Renseignments suppplémentaires sur l'emploi
Les informations relatives à la rémunération du poste à pourvoir dépendent de la date de publication de l’offre de poste. Cognizant se réserve le droit de modifier ces informations à tout moment, sous réserve des lois applicables.
Cognizant est un employeur soucieux de l'égalité des chances entre candidats. Votre candidature sera étudiée indépendamment de votre race, couleur, sexe, religion, croyances, orientation sexuelle, identité de genre, origine, handicap, informations génétiques, grossesse, statut d'ancien militaire ou de toute autre critère jugé discriminant par les lois européennes ou françaises.
Vous êtes porteur d'un handicap, vous pouvez-nous contacter par courriel [email protected] si vous souhaitez préciser les aménagements nécessaires pour le poste ou les entretiens à venir.
Les candidats peuvent être invités à participer à des entretiens en face à face ou par vidéoconférence. En outre, les candidats peuvent être amenés à présenter une carte d'identité valide lors de chaque entretien.
