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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.
Key Responsibilities
< data-end="668" data-start="629">API-Focused End-to-End Testing
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.
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
- 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)
- 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)
- 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
- Postman (Required)
- Playwright
- Jira
- REST APIs
- HL7 FHIR
- CI/CD-aligned testing practices
- Nucular (preferred)
- Experience working in regulated healthcare environments
- Familiarity with CMS interoperability mandates and compliance frameworks