Job Summary
This hybrid Product Test Engineer role focuses on validating complex health care administration solutions built on Facets and TriZetto Elements for payer and provider clients. The engineer will design and execute robust functional and integration tests for enrollment benefit configuration and claims workflows ensuring high reliability and regulatory compliance. The role impacts health plan members and care providers through improved accuracy reduced processing defects and enhanced digital
Responsibilities
- Design comprehensive test strategies and detailed test scenarios for Facets enrollment workflows that ensure accurate member intake processing and reduce downstream defects in payer and provider operations.
- Develop and maintain reusable test cases and data sets for Facets benefit configuration that validate complex plan designs and improve reliability of benefit administration for diverse health plan offerings.
- Execute functional integration and regression testing for Facets claims processing to confirm correct adjudication logic and to minimize claim payment errors that impact providers and members.
- Coordinate end to end test cycles across Facets and TriZetto Elements modules to verify seamless data flow between enrollment benefits and claims components within integrated product releases.
- Analyze production like defects and root causes in payer and provider use cases and translate findings into targeted regression coverage and improvements in test design for future releases.
- Collaborate closely with product managers business analysts and configuration teams to clarify requirements and ensure test conditions accurately reflect real world payer and provider scenarios.
- Create and refine test data that mirrors complex provider networks member benefit combinations and claim scenarios to strengthen test depth and increase confidence in product behavior under varied conditions.
- Document clear test results defect details and impact assessments that help development and configuration teams resolve issues quickly and maintain high quality standards for client delivery.
- Use domain knowledge of payer and provider processes to validate compliance with business rules contractual obligations and regulatory expectations within Facets and TriZetto Elements solutions.
- Support performance and volume oriented test activities by modeling realistic enrollment loads benefit updates and claim submission patterns that reflect large scale health plan operations.
- Engage with implementation and support teams in a hybrid work model to review client specific configurations and share test insights that reduce implementation risk and enhance customer satisfaction.
- Contribute to continuous improvement of test frameworks checklists and best practices for Facets and TriZetto Elements testing to improve efficiency and consistency across product releases.
- Mentor junior test engineers in understanding payer and provider workflows and in applying structured test design techniques that raise overall team capability and product quality.
Qualifications
- Demonstrate strong hands on experience in Facets enrollment testing with detailed understanding of member eligibility rules group structures and related configuration impacts on downstream processes.
- Apply advanced knowledge of Facets benefit configuration by designing tests that cover complex benefit hierarchies accumulators and cost sharing rules for varied health plan products.
- Utilize practical expertise with Facets claims modules to verify claim pricing accumulation and payment rules while ensuring alignment with payer reimbursement policies and provider contracts.
- Bring working experience in TriZetto Elements to validate integration points configuration consistency and data exchange between TriZetto tools and core Facets components.
- Exhibit solid domain understanding of payer operations such as enrollment premium handling benefits administration and claims adjudication to design realistic and business relevant test scenarios.
- Apply provider domain knowledge to test scenarios involving provider contracting reimbursement patterns and network participation attributes reflected in claims and benefit configuration.
- Use strong analytical and problem solving abilities to interpret complex defects reproduce issues reliably and recommend test coverage enhancements based on observed patterns in health care data.
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap 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, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
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, state or local laws.
