End-to-End Integration QA Engineer

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Role : End-to-End Integration QA Engineer ( CMS Burden Reduction | HL7 FHIR | API-Focused )

Location: Relocations ok.

• Bloomfield, CT (Preferred)
• Franklin, TN (Secondary)
  
  

Duration: 6 Months

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 systems.

Key Responsibilities

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, and error handling
• Perform deep API validation across upstream and downstream systems and integration partners
• Ensure data accuracy, integrity, and regulatory compliance across API workflows
  
  

Agile & Program Enablement

• Participate in Pre-PI Planning, PI Planning & break-outs, Release retrospectives, and Technical Design walkthroughs
• Engage in Sprint Planning, daily stand-ups, and System Demos as part of System QA/QE
  
  

Test Planning, Design & Execution

• Contribute to Test Strategy during PI Planning (scenarios, dependencies, risks, regression impact)
• Provide end-to-end test estimates for assigned features (story points)
• Define and review Acceptance Criteria using GIVEN-WHEN-THEN format
• Design, automate, and execute end-to-end test scenarios (positive, negative, integration)
• Identify test data needs and provide inputs for integrated test environment setup
• Execute tests based on business priority and critical paths
• Walk through test evidence and provide demos for feature acceptance
  
  

Defect Management & Governance

• Collaborate with Product Owner, Architects, Developers, RTE, and QE Leads on defect management
• Support warranty and post-production validation
• Maintain daily Jira updates for features, test execution, and defects
  
  

Required Skills & Experience

• 8 years of experience in End-to-End / Integration QA
• 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
• Experience with Playwright for API and UI integration scenarios
• Strong experience with Jira for test and defect management
• Experience working in Agile / SAFe environments