Remote Senior Healthcare Claims Testing Lead

Cognizant; Santa Fe (NM); Remote; USD 71,000 - 110,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

401(k) plan and contributions

Paid holidays plus PTO

Disability (short/long-term)

Job summary

Cognizant is seeking a Senior Healthcare Claims Test Lead to drive testing initiatives for Medicare claims and healthcare payment solutions. You will independently manage testing across the project lifecycle, focusing on claims processing, payment accuracy, defect management, and complex claims resolution.

Remote position in the United States with flexibility to balance work-life commitments, and collaboration with business analysts, developers, and upstream teams to ensure accurate claims

Qualifications

• 10+ years of healthcare payer domain expertise, especially in claims processing and testing.
• Hands-on experience with HRP, ClaimXten, and Cotiviti.
• Strong experience in Medicare claims testing.
• Test management with ability to independently lead testing activities and project-level delivery.
• Experience with defect management, root cause analysis, and resolution of complex claims-processing issues.

Responsibilities

• Lead end-to-end testing for Medicare claims, managing test planning, execution, and defect management.
• Drive overall testing delivery and coordinate with business analysts, developers, and upstream teams.
• Validate claims-processing behavior, reimbursement accuracy, edits, and payment outcomes.
• Support CMS-driven pricing changes, release variances, and compliance risks where applicable.

Skills

Healthcare payer

Claims processing

Testing

Test management

Defect management

Root cause analysis

Medicare claims testing

Release testing

Tools

HRP

ClaimXten

Cotiviti

Job description

Cognizant is seeking a Senior Healthcare Claims Test Lead to drive testing initiatives for Medicare claims and healthcare payment solutions. You will independently manage testing across the project lifecycle, focusing on claims processing, payment accuracy, defect management, and complex claims resolution.

Remote position in the United States with flexibility to balance work-life commitments, and collaboration with business analysts, developers, and upstream teams to ensure accurate claims