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.

In this role, you will:

• 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 PrePI Planning, PI Planning, sprint planning, daily standups, 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 crossfunctional teams to manage defects, support postproduction validation, and provide test evidence for feature acceptance

Work model: Onsite

At Cognizant, we strive to provide flexibility wherever possible, and we are here to support a healthy worklife 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.

What you need to have to be considered:

• 5+ years of experience in end-to-end and integration Quality Assurance roles
• Strong, handson 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

These will help you stand out:

• Experience supporting CMS Interoperability or regulatory healthcare programs
• CI/CDaligned 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 nontechnical teams
• Experience supporting warranty periods and postproduction validation efforts

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting ideas to this role

Salary and Other Compensation:

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:

Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

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*