Senior Healthcare Claims QA Engineer — Remote

Cognizant Technology Solutions Corporation; Atlanta (GA); Remote; USD 90,000 - 113,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Paid Holidays

Job summary

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure the quality, accuracy, and reliability of payer claims processing solutions through testing, automation, and data validation.

You will analyze requirements, design test strategies, execute functional and integration tests, validate EDI/X12 transactions (837P/837I), and contribute to data validation and API testing within an Agile environment.

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, or related discipline.
• 7+ years of software testing experience in Healthcare Payer claims processing.
• Strong understanding of healthcare claims lifecycle and pre-adjudication processes.
• Hands-on testing of EDI/X12 transactions (837P/837I) and data validation.
• Advanced SQL and backend validation, data reconciliation.
• Experience API/integration/end-to-end testing in healthcare ecosystems.
• Strong defect management and Agile delivery experience.

Responsibilities

• Analyze healthcare claims requirements, business rules, and user stories to guide test strategy.
• Execute functional, integration, regression and end-to-end tests across workflows.
• Validate pre-adjudication logic, edits, rejects, pend scenarios, and pricing.
• Perform EDI/X12 testing focusing on 837P and 837I interfaces.
• Conduct SQL-based data validation and test data preparation.
• Investigate defects, perform root cause analysis, and drive resolutions.
• Develop, maintain, and execute automated tests using Selenium/Playwright.
• Perform API and integration testing across payer platforms and downstream systems.

Skills

Healthcare claims testing

QA engineering

Test automation

SQL data validation

EDI/X12 testing

API testing

Agile delivery

Education

Bachelor's degree in CS or related

Tools

Selenium

Playwright

CI/CD tooling

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure the quality, accuracy, and reliability of payer claims processing solutions through testing, automation, and data validation.

You will analyze requirements, design test strategies, execute functional and integration tests, validate EDI/X12 transactions (837P/837I), and contribute to data validation and API testing within an Agile environment.