Remote Senior Healthcare QA Engineer - Payer Claims

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

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays & PTO

401(k) plan

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 ensure quality of payer claims-processing applications and integrations. You will validate EDI/X12 transactions, claims workflows, and backend data across systems.

You will design test scenarios, execute functional and end-to-end tests, perform SQL validations, and develop automated tests using Selenium or Playwright, with AI-assisted testing where applicable.

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.
• End-to-end claims lifecycle understanding: pre-adjudication, validations, edits, rejects, pend, downstream outcomes.
• Experience testing EDI/X12 healthcare claims transactions, particularly 837P and 837I.
• Strong SQL/database testing and backend data validation.
• Experience API and integration testing for complex workflows.
• Automation experience with Selenium/Playwright; AI-assisted testing exposure.

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 with a strong focus 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 accurate 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 frameworks, leveraging AI-assisted testing.

Skills

Healthcare QA

EDI/X12 testing

SQL testing

API testing

Automation Selenium

Playwright

GenAI testing

Education

Bachelor's degree in CS/IT/Engineering

Tools

PEGA

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare QA Engineer – Payer/ Claims to ensure quality of payer claims-processing applications and integrations. You will validate EDI/X12 transactions, claims workflows, and backend data across systems.

You will design test scenarios, execute functional and end-to-end tests, perform SQL validations, and develop automated tests using Selenium or Playwright, with AI-assisted testing where applicable.