Senior Executive

We are seeking a skilled HealthRules Payor Senior Executive tester to perform testing on Cotiviti edits and support configurator to perform testing on HealthRules Payor setups. The role involves supporting & testing changes in Cotiviti Rules, working on Cotiviti tool triggers and procedures, ensuring timely updates and maintenance. Strong analytical skills, Testing knowledge and effective communication. - 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