Senior Executive

🕒 July 17

🇮🇳 India – Remote

⏰ Full Time

🟠 Senior

👔 Executive

👻 Ghost score 47%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EXL

WebsiteLinkedInAll Job Openings

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

• Perform testing on Cotiviti edits and support configurator testing for HealthRules Payor setups • Execute and manage the 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 and CXT rule changes and implementation • Work with the HealthRules Payor application and Cotiviti Tool • Perform full, unit, and regression testing • Ensure timely updates and maintenance of Cotiviti rules, triggers, and procedures

🎯 Requirements

• Bachelor's Degree / Any Graduate • Knowledge in testing and claim processing, including Cotiviti rules and triggers (FRE, UNB, MUE, non-covered, bundled scenarios) • Knowledge of different products, member accounts, and contracts • Knowledge of HealthRules Payor (HRP) application and Cotiviti Tool • Testing knowledge • Strong analytical skills • Effective communication • Ability to execute and manage end-to-end testing cycles for Cotiviti in HRP • Ability to create comprehensive test plans and test cases based on project requirements and specifications • Ability to perform full, unit, and regression testing • Knowledge of Cotiviti and CXT rule changes and implementation • Knowledge of Quarterly CMS dictionary updates and procedures

🏖️ Benefits

• Work From Home

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