Senior Executive

About the role

This position is listed on behalf of a partner company, which manages all applications and next steps. We are seeking a detail-oriented Senior Executive to support quality assurance and claims management within a healthcare payer environment. In this role, you will oversee end-to-end testing activities for claims processing systems, ensuring that business rules, configurations, and system updates function accurately and consistently.

What you'll do

• Execute and manage the end-to-end testing lifecycle for Cotiviti within the HealthRules Payor (HRP) application
• Analyze and validate healthcare claims processing rules, triggers, and scenarios, including FRE, UNB, MUE, non-covered services, and bundled claims
• Create comprehensive test plans and test cases based on project requirements, business specifications, and system changes
• Perform full, unit, and regression testing to verify system functionality, identify defects, and ensure consistent processing outcomes
• Test and validate Cotiviti and CXT rule changes, configurations, and implementations

What you need

• 3–6 yrs of experience
• Test cases
• Regression testing
• Claims processing
• Any graduate