Senior Healthcare Claims QA Engineer — Remote

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

Benefits offered by this job

Medical/Dental/Vision Insurance

Paid holidays and PTO

401(k) plan

Job summary

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality of healthcare payer claims processing solutions. You will design tests, validate data, and drive automation using Selenium or Playwright within an Agile framework.

The role emphasizes EDI/X12 testing (837P/837I), SQL data validation, API/integration testing, and collaboration with cross-functional teams across the payer ecosystem.

Qualifications

• Bachelor's degree in Computer Science, Information Technology, Engineering, or a related discipline.
• 7+ years of experience in software testing within Healthcare Payer claims processing environments.
• Strong understanding of the healthcare claims lifecycle, including pre-adjudication and adjudication outcomes.
• Hands-on experience testing EDI/X12 healthcare transactions (837P, 837I).
• Advanced SQL and database testing skills including backend validation and data reconciliation.
• Experience performing API, integration, and end-to-end testing across healthcare ecosystems.
• Agile delivery environment experience with modern testing practices.

Responsibilities

• Analyze healthcare claims requirements, business rules, and user stories to develop test strategies and test cases.
• Execute functional, integration, regression, and end-to-end testing across claims processing workflows.
• Validate pre-adjudication logic, claim edits, rejects, pend scenarios, pricing calculations, and downstream processing.
• Perform EDI/X12 testing focusing on 837P and 837I interfaces.
• Conduct SQL-based data validation, reconciliation, and test data preparation.
• Investigate defects, perform root cause analysis, and drive issues to resolution.
• Develop, maintain, and execute automated test scripts using Selenium, Playwright, or similar tools.
• Perform API and integration testing to validate data exchange between payer platforms and systems.

Skills

Test strategy

Test case design

Data validation

Defect analysis

Agile testing

Education

Bachelor's degree in Computer Science or related field

Tools

Selenium

Playwright

ETL testing tools

Job description

Cognizant Technology Solutions Corporation is seeking a Senior Healthcare Payer Claims QA Engineer to ensure quality of healthcare payer claims processing solutions. You will design tests, validate data, and drive automation using Selenium or Playwright within an Agile framework.

The role emphasizes EDI/X12 testing (837P/837I), SQL data validation, API/integration testing, and collaboration with cross-functional teams across the payer ecosystem.