About this role
• 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