Health Rules Payor (HRP)Senior Executive Tester- US Healthcare Claims -Testing - 3 Years- Work From Home

We are looking for a skilled HealthRules Payor Senior Executive Tester to support end-to-end testing of healthcare claims, Cotiviti rule validation, and HRP configurations. This is an excellent opportunity to work with a leading global healthcare organization on large-scale payer platforms while working remotely from anywhere in India.

Location: PAN India (Work From Home)

Experience: 35 Years

Must Have- Cotiviti Tool , HRP , HIPPA Regulations

Your Future Employer- A globally recognized organization delivering innovative healthcare technology and business solutions to leading healthcare payers. The company offers exposure to enterprise healthcare platforms, a collaborative work culture, and excellent opportunities for growth opportunities in the US Healthcare domain.

Responsibilities

1. Execute end-to-end testing for HealthRules Payor (HRP) applications and validate Cotiviti rule implementations.
2. Develop detailed test plans, test scenarios,



and test cases based on business and functional requirements.
3. Perform unit, integration, regression, and end-to-end testing for HRP configurations and Cotiviti rule changes.
4. Validate claim processing workflows, including Cotiviti edits such as FRE, UNB, MUE, bundled, and non-covered scenarios.
5. Support quarterly CMS dictionary updates and ensure accurate testing of related HRP configurations.
6. Analyze healthcare claims, contracts, member accounts, and product configurations to identify testing gaps.
7. Collaborate with configurators, business teams, and developers to resolve defects and ensure successful implementation.
8. Maintain testing documentation, defect logs, execution reports, and quality metrics throughout the project lifecycle.

Requirements

1. Graduate in any discipline with 3–5 years of experience in the US Healthcare insurance domain.
2. Minimum 2 years of hands-on experience working with HealthRules

📌 Health Rules Payor Senior Executive Tester (Chennai)
🏢 Crescendo Global Leadership Hiring India
📍 Chennai