Note: The job is a remote job and is open to candidates in USA. Cognizant is a leading technology and engineering company, and they are seeking a Senior Healthcare QA Manager – Facets Claims & Medicare. The role involves ensuring the quality, accuracy, and reliability of healthcare claims processing solutions within large-scale Facets transformation initiatives, working collaboratively with various teams to deliver high-quality healthcare payer solutions.
Responsibilities
- Perform end-to-end testing of Facets Claims processing applications to ensure accurate claim adjudication and business rule execution
- Execute large-scale parallel testing by comparing Legacy and Facets claims processing results and identifying discrepancies
- Validate Medicare claims processing workflows, configuration changes, and business requirements within the Facets platform
- Design, develop, and execute functional, integration, system, and regression test cases and test scenarios
- Conduct backend validation using SQL, database queries, and healthcare claims data analysis
- Analyze high-volume claims processing results and support quality assurance activities for large-scale healthcare transformation programs
- Participate in defect triage sessions, perform root cause analysis, and validate defect fixes
- Collaborate closely with business, configuration, development, and QA teams to ensure successful project delivery
Skills
- 10+ years of strong hands-on experience in Facets Claims Testing within healthcare payer environments
- Deep understanding of healthcare payer claims adjudication processes and claims lifecycle management
- Experience performing end-to-end front-end and backend validation of Facets Claims applications
- Strong SQL skills with the ability to perform data validation, reconciliation, and backend testing
- Experience testing Medicare Claims processing workflows and business rules
- Proven experience supporting large-scale healthcare transformation, modernization, or Facets migration programs
- Ability to work independently in a hands-on testing role while managing multiple priorities
- Knowledge of healthcare EDI transactions, including 837 and 835 transaction sets
- Experience working with federal healthcare programs, including CMS and Medicare initiatives
- Exposure to test automation frameworks and automation testing practices
- Experience with healthcare data migration and conversion testing
- Prior experience working in large-scale payer transformation and Facets modernization programs
Benefits
- 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
Company Overview