IT QEA Project Manager

1 day ago


Hartford, Connecticut, United States Cognizant North America Full time

Cognizant North America is seeking a highly skilled IT QEA Project Manager to lead the financial neutrality claims testing process for a strategic program involving Medicare business. The ideal candidate will have 14+ years of experience in Quality Engineering & Assurance, with 7+ years of experience in Agile, Healthcare Domain, and Medicare. They will be responsible for strategizing and defining the financial neutrality claims testing process, participating in business reviews, and collaborating with Business and Development teams. The successful candidate will have excellent knowledge of Claims Process, EDI, and Health Rules Payor (HRP) applications, as well as hands-on experience with creating and executing complex SQL queries. They will also have experience with Test management tools, especially IBM products like RTC, RQM, and Rally, and automation experience with Selenium, RFT, and Java. The ideal candidate will thrive in a collaborative environment and be inspired to craft meaningful solutions through true collaboration.

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

Cognizant North America is an equal opportunity employer and welcomes applications from diverse candidates. We offer a collaborative work environment, competitive compensation, and opportunities for professional growth and development.


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