Remote Senior Healthcare Payer Claims QA Engineer

Cognizant Technology Solutions Corporation; Helena (MT); Remote; USD 96,000 - 110,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid time off

401(k) plan

Disability insurance

Parental leave

Employee stock purchase plan

Job summary

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims Test Engineer to ensure quality and reliability of payer claims-processing applications and interfaces. You will validate complex workflows, EDI/X12 transactions, backend data, and downstream outcomes while collaborating with business, development, and QA teams.

The role emphasizes automation using Selenium/Playwright and AI-assisted testing, with a remote US-friendly work model and flexible arrangements.

Qualifications

• Bachelor's degree in computer science, Information Technology, Engineering, or a related field.
• 8+ years of software testing experience within Healthcare Payer claims-processing environments.
• Strong hands-on experience testing Healthcare Payer claims applications and workflows.
• Strong understanding of the end-to-end claims lifecycle, including pre-adjudication, business validations, claim edits, rejects, pend processing, and downstream claim outcomes.
• Hands-on experience testing EDI/X12 healthcare claims transactions, particularly 837P and 837I.
• Strong SQL and database-testing skills, including backend data validation, reconciliation, and test-data preparation.
• Experience creating and executing functional, regression, integration, and end-to-end testing for complex claims-processing workflows.

Responsibilities

• Analyze healthcare claims requirements, user stories, and business rules to develop comprehensive test scenarios and test cases.
• Execute functional, regression, integration, and end-to-end testing across healthcare payer claims-processing workflows.
• Validate the claims lifecycle, including pre-adjudication logic, business validations, claim edits, rejects, pend scenarios, and downstream claim outcomes.
• Perform EDI/X12 transaction testing focusing on 837P and 837I transactions and related healthcare claims interfaces.
• Perform SQL and database validation, data analysis, reconciliation, and test-data preparation to support test execution.
• Conduct API and integration testing to validate data exchange between upstream and downstream applications.
• Investigate defects, perform root-cause analysis, collaborate with development teams, and drive issues through resolution and closure.
• Develop, maintain, and execute automated test scripts using Selenium, Playwright, or similar automation frameworks, leveraging AI-assisted testing where applicable.

Skills

QA testing

SQL

API testing

Automation testing

Selenium

Playwright

Healthcare payer claims

EDI/X12 testing

Root cause analysis

Education

Bachelor's degree in computer science/IT/Engineering

Tools

PEGA

API testing tools

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims Test Engineer to ensure quality and reliability of payer claims-processing applications and interfaces. You will validate complex workflows, EDI/X12 transactions, backend data, and downstream outcomes while collaborating with business, development, and QA teams.

The role emphasizes automation using Selenium/Playwright and AI-assisted testing, with a remote US-friendly work model and flexible arrangements.