Remote Senior Healthcare Claims QA Engineer

Cognizant Technology Solutions Corporation; Lansing (MI); Remote; USD 90,000 - 113,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off

Parental Leave

401(k) Plan

Disability – Long-term

Disability – Short-term

Employee Stock Purchase Plan

Job summary

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality and reliability of healthcare payer claims processing solutions. You will lead testing across functional, integration, and end-to-end scopes, validating 837P/837I transactions and downstream processes, with emphasis on data integrity and automation.

Remote role open to qualified applicants in the United States, supporting a flexible work-life balance while delivering high-quality

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.
• 7+ years of experience in software testing within Healthcare Payer claims processing environments.
• Strong understanding of the healthcare claims lifecycle, including pre-adjudication, business validations, claim edits, rejects, pend processing, and claims outcomes.
• Hands-on experience testing EDI/X12 healthcare transactions, particularly 837 Professional (837P) and 837 Institutional (837I).
• Advanced SQL and database testing skills, including backend validation, data analysis, and reconciliation activities.
• Experience performing API, integration, and end-to-end testing across complex healthcare ecosystems.
• Strong defect management, root cause analysis, and problem-solving capabilities.
• Experience working within Agile delivery environments using modern testing and quality engineering practices.

Responsibilities

• Analyze healthcare claims requirements, business rules, and user stories to develop comprehensive test strategies, test scenarios, and test cases aligned with business objectives.
• Execute functional, integration, regression, and end-to-end testing across healthcare claims processing workflows, ensuring accurate adjudication outcomes.
• Validate pre-adjudication logic, claim edits, rejects, pend scenarios, pricing calculations, and downstream claims processing activities.
• Perform EDI/X12 transaction testing, with a focus on 837 Professional (837P), 837 Institutional (837I), and related healthcare claims interfaces.
• Conduct SQL-based data validation, reconciliation, and test data preparation to support testing activities and ensure data integrity.
• Investigate defects, perform root cause analysis, collaborate with development teams, and drive issues through successful resolution.
• Develop, maintain, and execute automated test scripts using Selenium, Playwright, or comparable automation frameworks.
• Perform API and integration testing to validate data exchange between payer platforms, claims systems, provider interfaces, and downstream applications.

Skills

Software testing

Healthcare claims

EDI/X12

SQL

API testing

Agile

Automation testing

Root cause analysis

Education

Bachelor's degree

Tools

Selenium

Playwright

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality and reliability of healthcare payer claims processing solutions. You will lead testing across functional, integration, and end-to-end scopes, validating 837P/837I transactions and downstream processes, with emphasis on data integrity and automation.

Remote role open to qualified applicants in the United States, supporting a flexible work-life balance while delivering high-quality