Test Engineering, Senior Associate

The Health and Financial Solutions team is looking for a Test Engineer to support the testing lifecycle for Medicare claims processing systems operating on a legacy mainframe platform. This role requires expertise in validating Durable Medical Equipment (DME) claim workflows, ensuring compliance with CMS (Centers for Medicare & Medicaid Services) regulations, and managing test cases within TestRail. The engineer will collaborate with business analysts, developers, and operations to design, execute, and automate test suites for both functional and regression testing.

Key Responsibilities

Design, implement, and maintain automated test scripts for critical Medicare claim workflows in the mainframe environment (batch and online).

• Integrate automated test suites with TestRail for execution tracking and reporting.

• Continuously assess regression suites for automation opportunities to improve test coverage, speed, and repeatability.

• Develop, manage, and execute test cases within TestRail aligned to Medicare claims workflows and CMS requirements.

• Perform functional, regression, and integration testing for mainframe batch and online applications.

• Validate COBOL/JCL jobs, DB2/VSAM database updates, and downstream claim adjudication outputs.

• Collaborate with developers, analysts, and operations to resolve defects and ensure test coverage.

• Create and maintain test data to simulate Medicare claim scenarios (inpatient, outpatient, Part A, Part B, adjustments, rejections, etc.).

• Ensure compliance with CMS testing standards and audit documentation.

• Track and report test results, defects, and quality metrics in TestRail and JIRA (or equivalent defect tracking tool).

• Participate in defect triage meetings and root cause analysis.

Required Skills & Experience

• 2 years with BS/BA, 6 years no degree.
• Proficiency in mainframe environments, including JCL, COBOL (reading and debugging), DB2 SQL queries, and VSAM file handling.

• Proven experience with test case management and orchestration tools including Quick Test Pro, Open Text Unified Functional Testing (UFT), and TestRail, to design, execute maintain automated test cases.

• Familiarity with Medicare claims processing, including 837/835 EDI transactions, claim adjudication logic, and CMS compliance requirements.

• Experience using defect tracking tools such as Jira, or equivalent platforms to manage defects and testing workflow.

• Solid understanding of Agile and Hybrid Agile/Waterfall testing methodologies, with the ability to adapt test strategies to evolving delivery models.

• Ability to interpret and analyze business and system requirements, translating them into detailed and reusable test cases and automation scripts.

• Strong attention to detail, with disciplined documentation practices to support audit and regulatory compliance standards.
• US Citizen and have the ability to obtain a Public Trust clearance.

Preferred Qualifications

• Experience with automated testing frameworks for mainframe (e.g., CA Verify, Compuware Test Automation, REXX scripting).

• Knowledge of CMS regulatory changes (e.g., ICD-10, HIPAA, DMEPOS).

• Prior experience in healthcare payer systems or CMS audit environments.

• Familiarity with DevOps pipelines and CI/CD integration with test management software.

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