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EXL

Senior Executive

Posted 2 months ago

India

2-5 years experience

testing

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AI Summary

Manage end-to-end testing cycles for Cotiviti within the HealthRules Payor (HRP) application. This includes maintaining CMS dictionary updates and executing full, unit, and regression testing based on rule changes.

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.