Lead end-to-end testing for Cotiviti within the HealthRules Payor (HRP) system. Create test plans and cases, perform unit, regression, and full testing, and validate Cotiviti and CXT rule changes (FRE, UNB, MUE, non-covered, bundled). Support quarterly CMS dictionary updates, claim-processing scenarios, and collaborate on product, member account, and contract testing.
- 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.
- 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.
Education/Qualification: Any Graduate
EXL Pune, Mahārāshtra, IND Office
Pune, India
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