Senior Business Analyst & Quality Assurance Analyst

Cognizant; Illinois; Hybrid; USD 88,000 - 120,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays & PTO

401(k) plan

Job summary

Cognizant is seeking a Senior Business Analyst & Quality Assurance Analyst in Chicago. You will drive successful delivery of healthcare and pharmacy technology solutions, collaborating with stakeholders, product owners, developers, and testing teams to ensure objective-aligned quality and regulatory compliance.

Responsibilities include writing BRDs/FRDs, creating test plans, leading UAT, validating claims/enrollment/EDIs, and guiding defect resolution across Agile and Waterfall projects.

Qualifications

• Bachelor's degree or equivalent professional experience in IT, business, healthcare administration, or related field.
• 6+ years of BA/QA experience in healthcare, health insurance, pharmacy, or managed care.
• Strong experience gathering requirements, BRDs/FRDs, stakeholder discussions, and end-to-end delivery.
• Hands-on testing: functional, integration, regression, system, UAT for enterprise apps.
• Experience with payer operations including claims adjudication and member enrollment.
• Proficiency with testing/defect tools: Azure DevOps, Jira, HP ALM/Quality Center, Confluence, ServiceNow.

Responsibilities

• Gather, analyze, and document business requirements, functional specs, processes, and user stories for healthcare initiatives.
• Design, develop, and execute functional, integration, regression, system, end-to-end, and UAT test cases.
• Lead User Acceptance Testing (UAT) and coordinate with stakeholders to meet regulatory requirements.
• Validate claims, enrollment, inventory systems, API integrations, and EDI transactions for accuracy and performance.
• Identify, document, prioritize, and track defects; support delivery in Agile and Waterfall environments.

Skills

Business analysis

Quality assurance

UAT testing

SQL data validation

Agile / Scrum

Stakeholder management

Education

Bachelor's degree or equivalent (Information Technology/Business/Healthcare)

Tools

Azure DevOps

Jira

HP ALM/Quality Center

Confluence

ServiceNow

Job description

Senior Business Analyst & Quality Assurance Analyst

About the Role

As a Senior Business Analyst & Quality Assurance Analyst, you will make an impact by driving the successful delivery of healthcare and pharmacy technology solutions that support member enrollment, claims processing, and operational excellence. You will be a valued member of the Healthcare Technology team and work collaboratively with business stakeholders, product owners, developers, architects, and testing teams to ensure solutions meet business objectives, quality standards, and regulatory requirements.

In This Role, You Will:

• Gather, analyze, and document business requirements, functional specifications, process flows, and user stories for healthcare and pharmacy technology initiatives.
• Design, develop, and execute functional, integration, regression, system, end-to-end, and user acceptance test cases to validate application functionality and business requirements.
• Lead User Acceptance Testing (UAT) activities and collaborate with business stakeholders to ensure solutions meet operational, compliance, and regulatory requirements.
• Validate healthcare claims, member enrollment processes, pharmacy inventory systems, API integrations, and EDI transactions to ensure data accuracy and system performance.
• Identify, document, prioritize, and track defects through resolution while partnering with cross-functional teams to support successful project delivery in Agile and Waterfall environments.

Work Model

Hybrid

We believe hybrid work is the way forward as we strive to provide flexibility wherever possible. Based on this role's business requirements, this is a hybrid position requiring 3 days per week in a client or Cognizant office in Chicago, IL. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured, we will always be clear about role expectations.

What You Need to Have to Be Considered

• Bachelor's degree or equivalent professional experience in Information Technology, Business, Healthcare Administration, or a related field.
• 6+ years of experience as a Business Analyst, Quality Assurance Analyst, or BA/QA professional supporting healthcare, health insurance, pharmacy, or managed care organizations.
• Strong experience gathering and documenting business requirements, creating BRDs/FRDs, facilitating stakeholder discussions, and supporting end-to-end solution delivery.
• Hands-on experience with functional, integration, regression, system, and UAT testing for enterprise applications.
• Experience supporting healthcare payer operations, including claims adjudication, member enrollment, Medicare, Medicaid, and commercial health plans.
• Proficiency with Azure DevOps, Jira, HP ALM/Quality Center, Confluence, ServiceNow, or similar testing and defect management tools.
• Experience performing SQL-based data validation, troubleshooting data discrepancies, and analyzing complex business processes.
• Working knowledge of Agile, Scrum, SAFe, Waterfall, and SDLC methodologies.
• Excellent communication and stakeholder management skills with the ability to collaborate across business and technical teams.

These Will Help You Stand Out

• Experience working with EDI healthcare transactions, including X12 837, 835, 834, 270/271, 850, 810, and 856 transaction sets.
• Experience with healthcare platforms such as Facets, PEGA, and EPIC EHR.
• Hands‑on experience with API testing using Postman and validation of JSON/XML transactions.
• Knowledge of pharmacy operations, pharmaceutical inventory management, supply‑chain systems, or specialty pharmacy environments.
• Understanding of healthcare regulatory requirements, including HIPAA and DSCSA compliance.
• Experience leading offshore QA teams, coordinating testing efforts, and driving test execution across multiple workstreams.
• Familiarity with PI Planning, backlog grooming, sprint ceremonies, and other SAFe Agile practices.

Salary and Other Compensation

Applications will be accepted until September 15, 2026.

The annual salary for this position is between $88,000 - $120,000 depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizants discretionary annual incentive program, based on performance and subject to the terms of Cognizants applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

• 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

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.