Senior Healthcare Claims QA Engineer - Remote

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

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

Paid holidays and PTO

401(k) plan and contributions

Disability insurance

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. You will analyze requirements, design test scenarios, and execute end-to-end testing across complex workflows, including EDI/X12 837P/837I interfaces.

You will also perform SQL validation, API testing, and build automated tests using Selenium or Playwright, with AI-assisted testing where applicable.

Qualifications

• Bachelor’s degree in computer science, information technology, engineering, or related field.
• 8+ years of software testing experience within Healthcare Payer claims-processing environments.
• Hands-on experience testing Healthcare Payer claims applications and workflows.
• Strong 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.

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 payer claims-processing workflows.
• Validate the claims lifecycle, including pre-adjudication logic, business validations, claim edits, rejects, pend scenarios, and downstream outcomes.
• Perform EDI/X12 transaction testing with focus on 837P and 837I transactions.
• Perform SQL and database validation, data analysis, reconciliation, and test-data preparation to support test execution.
• 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

Healthcare QA

SQL testing

EDI/X12 testing

Automation

API testing

Education

Bachelor's degree in CS or related field

Tools

Selenium

Playwright

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare QA Engineer – Payer/ Claims to ensure quality of payer claims-processing applications. You will analyze requirements, design test scenarios, and execute end-to-end testing across complex workflows, including EDI/X12 837P/837I interfaces.

You will also perform SQL validation, API testing, and build automated tests using Selenium or Playwright, with AI-assisted testing where applicable.