Remote Senior Medicare Claims Test Lead

Cognizant; Carson City (NV); Remote; USD 71,000 - 110,000; 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 is seeking a Senior Healthcare Claims Test Lead to drive testing for Medicare claims and healthcare payment solutions. You will independently manage testing across the project lifecycle, focusing on claims processing, payment accuracy, and defect resolution.

This remote role is open to applicants in the United States. You will collaborate with BAs, developers, and upstream teams to ensure compliant claims processing and successful project delivery.

Qualifications

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

Responsibilities

• Lead end-to-end testing for Medicare claims, independently managing test planning, execution, defect management, and overall testing delivery.
• Apply healthcare payer and claims expertise while testing solutions involving HRP, ClaimXten, and/or Cotiviti.
• Lead defect management and root cause analysis for failed claims, system errors, and claims-processing issues, partnering with business analysts, developers, and upstream teams to drive resolution.
• Validate claims-processing behavior, reimbursement accuracy, claims edits, and payment-related outcomes.
• Support testing of CMS-driven pricing changes, release-related variances, and Medicare claims compliance risks where applicable.

Skills

Healthcare payer domain expertise

Claims processing

Testing

Test management

Defect management

Root cause analysis

Tools

HRP

ClaimXten

Cotiviti

Job description

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

This remote role is open to applicants in the United States. You will collaborate with BAs, developers, and upstream teams to ensure compliant claims processing and successful project delivery.