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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in testing and claim processing, particularly with Cotiviti rules and HealthRules Payor application. Proficient in creating test plans, executing end-to-end testing cycles, and analyzing changes in compliance with CMS updates.
Highest-signal resume keywords
Testing & Claim ProcessingCotiviti Rules & TriggersHealthRules Payor ApplicationTest Plan CreationEnd-to-End Testing Cycle Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
TestingClaim ProcessingTest Case DevelopmentUnit TestingRegression Testing
Tools & Technologies
Cotiviti ToolHealthRules Payor (HRP)
Industry Keywords
CMS Dictionary UpdatesFREUNBMUENon-Covered ScenariosBundled Scenarios
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- Education/Qualification: Any Graduate 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account EXL Website LinkedIn All Job Openings 10,000+ employees 💰 $2M Venture Round on 2015-01 Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Senior Executive 🔥 38 minutes ago 🇮🇳 India – Remote ⏰ Full Time 🟠 Senior 👔 Executive Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- 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. 🎯 Requirements
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