Healthcare QA Engineer – API Testing | HLFHIR 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.

• 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

At Cognizant, we strive to provide flexibility wherever possible, and we are here to support a healthy work‑life balance through our various wellbeing programs. Based on this role’s business requirements, this is an onsite position requiring 5 days a week in a client or Cognizant office. This role is open to qualified applicants in the following locations:

• Bloomfield, CT (preferred)
• Franklin, TN (secondary)

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

• 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

• Experience supporting CMS Interoperability or regulatory healthcare programs
• CI/CD‑aligned testing experience within modern Dev Ops 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

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.

• 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

Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship. Please note, this role is not able to offer visa transfer or sponsorship now or in the future.