Senior Executive

About the role

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.

What you'll do

• 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

What you need

• 3–6 years in quality assurance & testing
• Test cases
• Regression testing
• Any graduate