Cognizant Technology Solutions is currently seeking a highly skilled IT QEA Project Manager -Medicare who will be responsible for Strategizing and defining the financial neutrality claims testing process for a strategic program involving Medicare business
Are you ready to be a change-maker At Cognizant, we believe those who challenge the way they work today will lead the way tomorrow!
Ability to work independently and remotely, with willingness travel for client engagements as needed.
Responsibilities:
· Project Management for the overall claims processing – Intake, Adjudication, finance reporting & validation
· Participate in business reviews and develop an elaborate Test Strategy
· Collaborate with Business and Development teams
· Define detailed level Test Plan with the scope, Data Strategy, Iterations of testing cycles
· Conduct and oversee the System, Integration and Regression testing within QA teams
· Claims processing in the claims engine – Health Rules Payor (HRP) application
· Bulk claim processing in HRP platform to ensure Financial Neutrality between platforms.
· Identify gaps in the current testing process and recommend improvements
Required Skills/Qualifications:
· Overall 14+ years of experience working on Quality Engineering & Assurance.
· Agile, Healthcare Domain & Medicare experience – 7+ years
· Must possess excellent knowledge on Claims Process, EDI, Health rules payor (HRP) – 7+ years
· Hands on experience with creating & executing complex SQL queries.
· Experience with Test management tools especially IBM products like RTC, RQM and Rally
· Automation experience with Selenium, good to have RFT and Java based experience
Preferred Skills/Qualification:
· Provider and Member data experience – good to have Market Prominence product knowledge
· Mainframe testing skills – CICS, Batch jobs
· Automation & GenAI foundational courses
Home office setup (network, phone, etc.) Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, inspires thought leadership, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.
If you are comfortable with ambiguity, excited by change, and excel through autonomy, we’d love to hear from you.
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