Remote Senior Healthcare QA Engineer (Payer Claims)

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

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays + PTO

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 QA Engineer – Payer/Claims to assure quality of payer claims-processing applications and integrations. You will validate claims workflows, EDI/X12, and downstream outcomes, analyze requirements, and design comprehensive test scenarios.

The role includes API/integration testing, SQL validation, and automation using Selenium/Playwright; remote in the United States with flexible work options and a focus on work-life balance.

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, validations, edits, rejects, pend, and downstream outcomes.
• Hands-on experience testing EDI/X12 healthcare claims transactions, particularly 837P and 837I.
• Strong SQL and database-testing skills including backend data validation and test-data prep.
• 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, validations, edits, rejects, pend processing, and downstream outcomes.
• Perform EDI/X12 transaction testing focusing on 837P and 837I transactions.
• Conduct API and integration testing to validate data exchange between upstream and downstream applications.
• Investigate defects, perform root-cause analysis, and drive issues to resolution.
• Develop, maintain, and execute automated test scripts using Selenium, Playwright, or similar frameworks; apply AI-assisted testing where applicable.

Skills

8+ years testing experience

Healthcare payer domain

SQL & data validation

End-to-end testing

AI-powered testing awareness

Education

Bachelor’s degree in CS/IT/Engineering

Tools

Selenium

Playwright

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare QA Engineer – Payer/Claims to assure quality of payer claims-processing applications and integrations. You will validate claims workflows, EDI/X12, and downstream outcomes, analyze requirements, and design comprehensive test scenarios.

The role includes API/integration testing, SQL validation, and automation using Selenium/Playwright; remote in the United States with flexible work options and a focus on work-life balance.