Senior Executive

📋 Description

• End-to-End Testing Management: Plan, execute, and manage the complete testing lifecycle for
• Claims Processing Validation: Test and validate healthcare claims processing scenarios, including
• Test Planning and Documentation: Develop comprehensive test plans, test cases, and test scenarios
• Functional and Regression Testing: Perform unit, functional, full-cycle, and regression testing to
• Application Maintenance and Updates: Analyse and test changes within HealthRules Payor to support
• Rules Implementation and Verification: Validate Cotiviti and CXT rule changes, ensuring that new or

🎯 Requirements

• A bachelor's degree or equivalent graduate qualification in any discipline.
• Approximately 3–6 years of relevant experience in software testing, quality assurance, healthcare
• Understanding of healthcare claims processing, including products, member accounts, contracts, and
• Knowledge of Cotiviti rules and triggers, including FRE, UNB, MUE, non-covered services, and
• Practical experience working with HealthRules Payor (HRP) and the Cotiviti tool is highly relevant
• Experience preparing test plans and test cases and executing unit, functional, end-to-end, and

🎁 Benefits

• Opportunity to develop expertise in healthcare claims management, quality assurance, and healthcare
• Exposure to HealthRules Payor, Cotiviti, and healthcare claims validation processes.
• Opportunities to strengthen testing, analytical, and problem-solving skills in a specialised domain.
• Experience supporting system enhancements, regulatory updates, and claims processing quality
• Opportunities for professional development and career progression in quality management and
• Collaborative working environment with exposure to cross-functional testing and implementation