Remote Senior Healthcare Claims QA Engineer - Automation

Cognizant Technology Solutions Corporation; Carson City (NV); Remote; USD 90,000 - 113,000; Full time

Benefits offered by this job

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.

Job summary

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality, accuracy, and reliability of healthcare claims processing solutions through testing, automation, and data validation.

You will develop test strategies, execute functional and end-to-end tests, validate EDI/X12 transactions (837P/837I), perform SQL data checks, and drive defects to resolution while leveraging Selenium or Playwright for automation in a remote United States role.

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, or related discipline.
• 7+ years of software testing experience in Healthcare Payer claims processing environments.
• Strong understanding of the healthcare claims lifecycle including pre-adjudication, validations, edits, rejects, pend processing, and outcomes.
• Hands-on experience testing EDI/X12 healthcare transactions, especially 837P/837I.
• Advanced SQL and database testing for backend validation and data reconciliation.
• Experience with API, integration, and end-to-end testing across healthcare ecosystems.
• Strong defect management and root cause analysis skills.
• Experience in Agile delivery environments with modern testing practices.

Responsibilities

• Analyze healthcare claims requirements and user stories to develop test strategies and test cases.
• Execute functional, integration, regression, and end-to-end testing across claims workflows.
• Validate pre-adjudication logic, edits, rejects, pend scenarios, pricing, and downstream processing.
• Perform EDI/X12 testing focusing on 837P/837I transactions.
• Conduct SQL-based data validation and test data preparation.
• Investigate defects and drive resolution with development teams.
• Develop and maintain automated tests using Selenium/Playwright.
• Perform API and integration testing between payer platforms and downstream apps.

Skills

Software testing

EDI/X12 testing

SQL data validation

API testing

Automation testing

Selenium

Playwright

Agile methodologies

Root cause analysis

QA engineering

Education

Bachelor's degree in Computer Science/Information Technology/Engineering

Tools

Selenium

Playwright

PEGA

CI/CD tools

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality, accuracy, and reliability of healthcare claims processing solutions through testing, automation, and data validation.

You will develop test strategies, execute functional and end-to-end tests, validate EDI/X12 transactions (837P/837I), perform SQL data checks, and drive defects to resolution while leveraging Selenium or Playwright for automation in a remote United States role.