QA Integration Engineer (FHIR)

Senior End-to-End Integration QA Engineer (API / HL7 FHIR)

Role Overview

We are seeking a Senior End-to-End Integration QA Engineer to support the CMS Burden Reduction / CMS Interoperability program. This role is heavily focused on API testing and validation of HL7 FHIR-based healthcare APIs, ensuring regulatory compliance, data integrity, and high-quality end-to-end integrations across complex healthcare ecosystems.

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Key Responsibilities

< data-end="668" data-start="629">API-Focused End-to-End Testing

• Own and execute end-to-end API and integration testing for CMS Burden Reduction initiatives
• Validate HL7 FHIR-based REST APIs, including:
  • Payloads
  • Schemas
  • Headers
  • Authentication
  • Error handling
• Perform deep API validation across upstream and downstream systems and integration partners
• Ensure data accuracy, integrity, and regulatory compliance across API workflows

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< data-end="1133" data-start="1100">Agile Program Enablement

• Participate in:
  • Pre-PI Planning
  • PI Planning & breakout sessions
  • Release retrospectives
  • Technical design walkthroughs
• Actively engage in:
  • Sprint Planning
  • Daily stand-ups
  • System demos (as part of QA/QE team)

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< data-end="1434" data-start="1392">Test Planning, Design & Execution

• Contribute to test strategy during PI planning (scenarios, dependencies, risks, regression impact)
• Provide end-to-end test estimates for features and story points
• Define and review acceptance criteria (GIVEN-WHEN-THEN format)
• Design, automate, and execute:
  • Positive & negative test scenarios
  • Integration and end-to-end workflows
• Identify test data requirements and support environment setup
• Execute tests based on business priorities and critical paths
• Collaborate with Product Owners, Architects, Developers, RTEs, and QE Leads for defect management
• Support warranty phase and post-production validation
• Maintain daily updates in Jira (features, execution status, defects)

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Required Skills & Experience

• 8+ years of experience in End-to-End Integration QA
• Strong hands-on expertise in API testing (must-have)
• Extensive experience with Postman for API validation
• Strong knowledge of:
  • HL7 FHIR
  • Healthcare interoperability standards
  • CMS Burden Reduction initiatives
• Experience with Playwright (API + UI integration testing)
• Strong experience with Jira for test and defect management
• Experience working in Agile SAFe environments

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Tools & Technologies

• Postman (Required)
• Playwright
• Jira
• REST APIs
• HL7 FHIR
• CI/CD-aligned testing practices
• Nucular (preferred)

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Nice to Have

• Experience working in regulated healthcare environments
• Familiarity with CMS interoperability mandates and compliance frameworks