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EXL

Senior Executive

Posted 9 hours ago
2-5 years experience
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AI Summary

The role involves executing end-to-end testing cycles for Cotiviti within the HealthRules Payor application. Responsibilities include analyzing and testing system changes, maintaining CMS dictionary updates, and creating comprehensive test plans.

  • 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.

Responsibilities

  • 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.

Qualifications

Education/Qualification: Any Graduate

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