2 days ago
Base Salary
$96k - $110k/yr
Responsibilities
- Analyze healthcare claims requirements, user stories, and business rules to create test scenarios and test cases.
- Execute functional, regression, integration, and end-to-end testing across healthcare payer claims-processing workflows.
- Validate pre-adjudication logic, business validations, claim edits, rejects, pend processing, and downstream claim outcomes.
- Test EDI/X12 healthcare claims transactions, particularly 837P and 837I transactions and related interfaces.
- Perform SQL and database validation, data analysis, reconciliation, and test-data preparation.
- Conduct API and integration testing between upstream and downstream applications.
- Investigate defects, perform root-cause analysis, and drive issues through resolution and closure.
- Develop, maintain, and execute automated test scripts using Selenium, Playwright, or similar frameworks, including AI-assisted testing where applicable.
Requirements
- Bachelor’s degree in computer science, Information Technology, Engineering, or a related field.
- 8+ years of software testing experience in healthcare payer claims-processing environments.
- Strong hands-on experience testing healthcare payer claims applications and workflows.
- Strong understanding of the end-to-end healthcare 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 validation, reconciliation, and test-data preparation.
- Experience with functional, regression, integration, and end-to-end testing for complex claims-processing workflows.
- Knowledge of PEGA-based healthcare solutions is preferred.
- Experience with API and integration testing, Selenium, Playwright, similar automation frameworks, or AI-powered testing tools is preferred.
Benefits
- Remote position open to qualified applicants in the United States, subject to business, project, and client requirements.
- Medical, dental, vision, and life insurance.
- Paid holidays and paid time off.
- 401(k) plan and contributions.
- Long-term and short-term disability coverage.
- Paid parental leave.
- Employee Stock Purchase Plan.
- Eligible for Cognizant’s discretionary annual incentive program based on performance and applicable plan terms.
About Cognizant
Cognizant is a public IT services and consulting firm that designs, builds, and runs enterprise technology, including digital engineering, cloud modernization, data/AI, and managed services. It sells consulting, systems integration, and outsourcing on multi-year engagements to large enterprises in healthcare, banking, retail, communications, and manufacturing. Founded in 1994 and headquartered in Teaneck, New Jersey, Cognizant is NASDAQ-listed (CTSH) and a Fortune 500 company.