EXL
10,000+ employees
🏥 Healthcare
🛡️ Insurance
📦 Logistics
💰 $2M Venture Round on 2015-01
Healthcare • Insurance • Logistics
EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.
Senior Executive
🕒 July 17
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EXL
10,000+ employees
🏥 Healthcare
🛡️ Insurance
📦 Logistics
💰 $2M Venture Round on 2015-01
Healthcare • Insurance • Logistics
EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.
📋 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
• Education/Qualification: Any Graduate
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