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*
Over Cognizant
Cognizant (NASDAQ: CTSH) is een bouwer van AI-oplossingen en een leverancier van technologiediensten. Wij slaan de brug tussen AI-investeringen en ondernemingswaarde door het bouwen van full-stack AI-oplossingen voor onze klanten. Onze diepgaande kennis van sectoren, processen en engineering stelt ons in staat om de unieke context van een organisatie te verankeren in technologische systemen. Deze systemen versterken het menselijk potentieel, realiseren tastbare resultaten en geven wereldwijde ondernemingen een voorsprong in een snel veranderende wereld. Ontdek hoe op cognizant.ai of @cognizant.
Aanvullende arbeidsinformatie
De informatie over de beloning is correct op de datum van deze vacature. Cognizant behoudt zich het recht voor om deze informatie op elk moment te wijzigen, met inachtneming van de toepasselijke wetgeving.
Van sollicitanten kan worden verwacht dat zij gesprekken bijwonen, persoonlijk of via een videogesprek. Daarnaast kan van kandidaten worden gevraagd om tijdens elk gesprek een geldig, door de overheid uitgegeven identiteitsbewijs (zoals een identiteitskaart of paspoort) te tonen.
Cognizant is een werkgever die gelijke kansen biedt. Je sollicitatie en kandidatuur worden niet beoordeeld op basis van ras, huidskleur, geslacht, religie, levensovertuiging, seksuele geaardheid, genderidentiteit, nationale afkomst, handicap, genetische informatie, zwangerschap, veteranenstatus of enige andere eigenschap die wordt beschermd door federale, regionale of lokale wetgeving.
