IT Testing Engineer II

Role Overview

• QA Analyst role supporting Conduent CMdS Medicaid Product


• Responsible for test execution and validation across claims processing and adjudication systems. 


• Collaborate with business SMEs, product owners, and engineering teams to ensure quality and compliance. 

Key Responsibilities:

• Analyze user needs and prepare test scenarios and test cases using Agile methodology 


• Create and maintain test artifacts for release testing (test cases, test data, execution results) 


• Participate in execution of release testing (SIT, regression, E2E) 


• Support test leads in meeting timelines and schedules for testing efforts 


• Execute test cases based on defined test plans and acceptance criteria 


• Follow and adhere to established QA standards, processes, and procedures 


• Communicate effectively with team members, stakeholders, and vendors as needed 


• Assist in test environment setup and validation activities 


• Follow standard testing methodologies and organizational QA frameworks 


• Participate in release-specific testing activities and coordination 


• Update and execute test cases and test data as per requirements 


• Participate in test case reviews, walkthroughs, and peer reviews 


• Support release validation and deployment verification activities 


• Contribute to lessons learned and continuous improvement initiatives 


• Identify, log, and track defects through to closure 


• Work with BA/Dev teams to clarify requirements and resolve issues 


• Perform basic troubleshooting and issue analysis 


• Work both independently and collaboratively in a team environment 

Experience Required:

• Minimum of 4+ years of QA experience with US Healthcare claims domain knowledge 


• Experience in writing SQL queries for data validation 


• Ability to design and execute test cases, test scenarios, and test data 


• Hands-on experience in validating end-to-end pharmacy claims lifecycle, including: 


• Ability to interpret business and technical requirements for testing Agile/Waterfall models 


• Good communication skills to report test results and defects clearly 


• Experience in web services/API testing using Postman or SoapUI 


• Basic knowledge of automation tools and testing practices 


• Strong interpersonal skills and ability to work with cross-functional teams 

o             Member eligibility and benefit verification 

o             Provider validation (NPI, NCPDP ID) 

o             Real-time POS claims adjudication 

o             Pricing logic (ASC, Rates, TPL, copay, Service Authorization, reference data pricing) .

Experience in testing scenarios involving: 

o             Claims Adjudication / EDI 

o             Prior Authorization (PA) 

o             Formulary and benefit plan rules 

o             Claims Pricing.