Senior Executive

📋 Description

• Execute and manage the end-to-end testing lifecycle for Cotiviti within the HealthRules Payor (HRP)
• Analyze and validate healthcare claims processing rules, triggers, and scenarios, including FRE
• Create comprehensive test plans and test cases based on project requirements, business
• Perform full, unit, and regression testing to verify system functionality, identify defects, and
• Test and validate Cotiviti and CXT rule changes, configurations, and implementations.
• Support the maintenance and testing of HealthRules Payor, including quarterly CMS dictionary

🎯 Requirements

• Any graduate degree is accepted.
• Approximately 3–6 years of relevant professional experience in quality assurance, claims
• Knowledge of healthcare claims testing and processing, including Cotiviti rules, triggers, and
• Familiarity with HealthRules Payor (HRP) and Cotiviti tools; experience with CXT rule changes is
• Experience preparing test plans and test cases and performing end-to-end, unit, full, and
• Understanding of healthcare products, member accounts, contracts, and claims processing procedures.

🎁 Benefits

• Opportunity to develop expertise in healthcare claims management, quality assurance, and payer
• Hands-on experience with HealthRules Payor, Cotiviti, and healthcare claims rule implementations.
• Exposure to quarterly CMS dictionary updates and evolving claims processing requirements.
• Opportunities to strengthen technical testing, analytical, and problem-solving capabilities.
• Collaboration with stakeholders involved in healthcare technology, claims operations, and quality