Senior API Integration Quality Engineer - Healthcare

As a Senior API Integration Quality Engineer - Healthcare, you will make an impact by validating complex healthcare integrations. You will be a valued member of a cross-functional delivery team, working collaboratively with product owners, architects, developers, and quality leaders to ensure regulatory compliance, data integrity, and high-quality API-driven integrations across healthcare systems.

This role is heavily focused on API testing and HL7 FHIR-based integrations, supporting large-scale, mission-critical healthcare platforms.

In this role, you will:

Lead 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 integration validation across upstream and downstream systems and external integration partners.

Ensure data accuracy, integrity, and regulatory compliance across complex API workflows.

Contribute to test strategy and planning during PI Planning, including scenario coverage, dependencies, risks, and regression impact.

Define and review acceptance criteria using GIVEN-WHEN-THEN format.

Design, automate, and execute end-to-end test scenarios (positive, negative, and integration).

Collaborating with product owners, architects, developers, RTEs, and QE leads on defect management, release readiness, and post-production validation.

Maintain accurate and timely updates in Jira for test execution, defects, and feature validation.

Work model

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 and may change based on business or client needs. We will always be clear about role expectations.

5+ years of experience in end-to-end or integration quality engineering.

Strong hands-on API testing expertise (must-have).

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 integration workflows.

Strong experience using Jira for test and defect management.

Experience working in Agile or SAFe delivery environments.

These will help you stand out

Experience using Playwright for API and UI integration scenarios.

Exposure to CI/CD-aligned testing practices.

Experience with Nucural or similar healthcare data platforms.

Ability to work effectively with multiple stakeholders across engineering, product, and architecture teams.

Strong communication skills and comfort participating in system demos, design walkthroughs, and release retrospectives.

We're excited to meet people who 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 innovative ideas to this role.

Paid parental leave, Employee stock purchase plan, Parental leave, 401(k), Health insurance, Paid time off, Vision insurance, Dental insurance, The annual salary for this position is between $53,477 to $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., 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

The Cognizant community: We are a high caliber team who appreciate and support one another. Our people uphold an energetic, collaborative and inclusive workplace where everyone can thrive. * Cognizant is a global community with more than 300,000 associates around the world. * We don't just dream of a better way - we make it happen. * We take care of our people, clients, company, communities and climate by doing what's right. * We foster an innovative environment where you can build the career path that's right for you., Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.