Healthcare QA Engineer – API Testing | HL7 FHIR Specialist

About The Role

As a Healthcare QA Engineer – API Testing | HL7 FHIR Specialist, you will make an impact by validating complex, API-driven healthcare integrations supporting the CMS Burden Reduction and CMS Interoperability initiatives. You will be a valued member of the Quality Engineering team and work collaboratively with Product Owners, Architects, Developers, and Program Leadership to ensure regulatory compliance, data integrity, and high-quality end-to-end system integrations.

Responsibilities

• Own and execute end-to-end API and integration testing for CMS Burden Reduction and Interoperability initiatives
• Validate HL7 FHIR–based REST APIs, including payloads, schemas, headers, authentication, and error handling
• Perform deep API validation across upstream and downstream systems and external integration partners
• Ensure data accuracy, integrity, and regulatory compliance across complex healthcare API workflows
• Contribute to test strategy during PI Planning, including scenarios, dependencies, risks, and regression impact
• Participate in Agile and SAFe ceremonies, including Pre-PI Planning, PI Planning, sprint planning, daily stand-ups, system demos, and release retrospectives
• Design, automate, and execute end-to-end test scenarios (positive, negative, and integration-focused)
• Define and review acceptance criteria using GIVEN–WHEN–THEN format
• Estimate testing effort for assigned features and support integrated test environment setup
• Collaborate with cross-functional teams to manage defects, support post-production validation, and provide test evidence for feature acceptance

Requirements

• 5+ years of experience in end-to-end and integration Quality Assurance roles
• Strong, hands-on experience with API testing (required)
• Extensive experience using Postman for API validation
• Strong knowledge of HL7 FHIR, healthcare interoperability, and CMS Burden Reduction initiatives
• Experience testing REST APIs across complex, distributed systems
• Hands-on experience with Playwright for API and UI integration testing
• Experience using Jira for test execution, defect management, and reporting
• Experience working in Agile and SAFe delivery environments

Qualifications

• Experience supporting CMS Interoperability or regulatory healthcare programs
• CI/CD-aligned testing experience within modern DevOps environments
• Familiarity with Nucural or similar healthcare integration platforms
• Strong communication skills with the ability to collaborate across technical and non-technical teams
• Experience supporting warranty periods and post-production validation efforts

What You Need To Have To Be Considered

• Experience supporting CMS Interoperability or regulatory healthcare programs
• CI/CD-aligned testing experience within modern DevOps environments
• Familiarity with Nucural or similar healthcare integration platforms
• Strong communication skills with the ability to collaborate across technical and non-technical teams
• Experience supporting warranty periods and post-production validation efforts

Pay & Benefits

• The annual salary for this position is between $53,477– $92,500 depending on experience and other qualifications of the successful candidate.
• This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
• Benefits include 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, and more.