Remote Senior Healthcare Claims QA Engineer

Cognizant Technology Solutions Corporation; Santa Fe (NM); Remote; USD 90,000 - 113,000; Full time

Benefits offered by this job

Insurance

Paid holidays

401(k)

Disability

Parental leave

Stock purchase plan

Job summary

Cognizant Technology Solutions Corporation in the United States is seeking a Senior Quality Engineer for Healthcare Claims Testing.

You will ensure the quality, accuracy, and reliability of payer claims processing solutions through testing, automation, and data validation, collaborating with business analysts, product owners, developers, healthcare operations teams, and client stakeholders to deliver high-quality healthcare solutions.

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.
• 7+ years of 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 837P and 837I.
• Advanced SQL and database testing skills, including backend validation and data reconciliation.
• Experience performing API, integration, and end-to-end testing across healthcare ecosystems.
• Strong defect management and root cause analysis capabilities.
• Experience working in Agile delivery environments with modern testing practices.

Responsibilities

• Develop test strategies and test cases aligned with business objectives.
• Execute functional, integration, regression, and end-to-end tests for claims processing workflows.
• Validate pre-adjudication logic, edits, rejects, pend scenarios, pricing, and downstream processing.
• Perform EDI/X12 testing for 837P/837I interfaces.
• Perform SQL data validation and test data preparation.
• Investigate defects and drive resolution with development teams.
• Develop and maintain automated tests with Selenium or Playwright.
• Perform API and integration testing across payer platforms and provider interfaces.

Skills

Test strategy

Test case design

Functional testing

Integration testing

Regression testing

EDI/X12 testing

SQL data validation

API testing

Agile testing

Root cause analysis

Automation testing

CI/CD awareness

Selenium

Playwright

QA collaboration

Education

Bachelor's degree in CS/IT/Engineering

Tools

Selenium

Playwright

PEGA

AI testing tools

Job description

Cognizant Technology Solutions Corporation in the United States is seeking a Senior Quality Engineer for Healthcare Claims Testing.

You will ensure the quality, accuracy, and reliability of payer claims processing solutions through testing, automation, and data validation, collaborating with business analysts, product owners, developers, healthcare operations teams, and client stakeholders to deliver high-quality healthcare solutions.