Remote Senior QA Engineer - Healthcare Payer Claims & EDI/X12

Cognizant Technology Solutions Corporation; Topeka (KS); Remote; USD 96,000 - 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 Technology Solutions Corporation is hiring a Senior Healthcare Payer Claims Test Engineer to ensure the quality of payer claims workflows, 837P/837I testing, and data validation across systems. You will collaborate with business, development, and QA teams to design robust test scenarios and automate where possible.

The role supports a remote work arrangement for qualified applicants in the United States, with a focus on end-to-end testing across medical claims processes and interfaces,

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.
• Hands-on experience testing Healthcare Payer claims applications and workflows.
• Understanding of the end-to-end claims lifecycle, including pre-adjudication, validations, edits, rejects, pend processing, 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, reconciliation, and test-data preparation.
• Experience creating and executing functional, regression, integration, and end-to-end testing for complex claims-processing workflows.
• Knowledge of PEGA-based healthcare solutions; experience with API testing; automation with Selenium/Playwright; familiarity with GenAI in testing.

Responsibilities

• Analyze healthcare claims requirements, user stories, and business rules to develop 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 emphasis on 837P and 837I transactions.
• Perform SQL and database validation, data analysis, reconciliation, and test-data preparation.
• 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, with AI-assisted testing where applicable.

Skills

Software testing

Healthcare payer claims

End-to-end lifecycle

EDI/X12 testing

SQL & DB testing

API testing

Automation testing

AI testing tools

Education

Bachelor's degree in CS/IT/Engineering

Tools

Selenium

Playwright

PEGA

GenAI testing tools

Job description

Cognizant Technology Solutions Corporation is hiring a Senior Healthcare Payer Claims Test Engineer to ensure the quality of payer claims workflows, 837P/837I testing, and data validation across systems. You will collaborate with business, development, and QA teams to design robust test scenarios and automate where possible.

The role supports a remote work arrangement for qualified applicants in the United States, with a focus on end-to-end testing across medical claims processes and interfaces,