Job Summary:
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.

Key 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.

Skills/Experience:
· Robust analytical skills and having knowledge about quarterly CMS dictionary updates.
· Testing skills (test scenario creation, test runner tool handling, QA).
· Good Knowledge in Cotiviti & CXT Tool.
· Excellent communication skills.
· Ability to work independently and as part of a team.
· Knowledge of HIPAA regulations and compliance in healthcare data management.
· Strong knowledge on CPT, ICD Codes, HCPCS.

Candidate Profile:
Education/Qualification: Any Graduate

Work Experience: 3 - 5 years of experience in US health insurance domain and claim testing and At least 2 years of experience working with HRP applications and minimum 1 year of experience in working with Cotiviti tool.

Functional Skills: US Healthcare Benefits, Testing skills on HRP, knowledge in Cotiviti tool.

· Location – PAN India,
· Experience – 3 to 5 Years
· Work Mode – WF

📌 Benefit Configuration and Testing Specialist (India)
🏢 EXL
📍 India