Senior Executive
Summary
Senior Executive in India tests and validates healthcare claims processing systems, focusing on Cotiviti rules and HealthRules Payor (HRP) applications with full, unit, and regression testing.
- Possess knowledge in testing & claim processing including Cotiviti rules & triggers (FRE, UNB, MUE, non-covered, bundled scenarios) and knowledge in different products, member accounts and contracts.
- Execute and manage end-to-end testing cycle for Cotiviti in HRP.
- Analyze and test to maintain HealthRules Payor, supporting changes in Quarterly CMS dictionary Updates and procedures.
- Create comprehensive test plans and test cases based on project requirements and specifications.
- Perform testing based on Cotiviti & CXT rule changes and implementation.
- Work with the HealthRules Payor (HRP) application, Cotiviti Tool.
- Perform full, unit, and regression testing.
- Possess knowledge in testing & claim processing including Cotiviti rules & triggers (FRE, UNB, MUE, non-covered, bundled scenarios) and knowledge in different products, member accounts and contracts.
- Execute and manage end-to-end testing cycle for Cotiviti in HRP.
- Analyze and test to maintain HealthRules Payor, supporting changes in Quarterly CMS dictionary Updates and procedures.
- Create comprehensive test plans and test cases based on project requirements and specifications.
- Perform testing based on Cotiviti & CXT rule changes and implementation.
- Work with the HealthRules Payor (HRP) application, Cotiviti Tool.
- Perform full, unit, and regression testing.
Education/Qualification: Any Graduate