- 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.
- 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.
Education/Qualification: Any Graduate
Skills Required
- Knowledge of Cotiviti rules and triggers (FRE, UNB, MUE, non-covered, bundled scenarios)
- Experience with HealthRules Payor (HRP) application
- Experience with Cotiviti Tool and CXT rule implementation
- Ability to create comprehensive test plans and test cases
- Experience performing full, unit, and regression testing
- Knowledge of claim processing, products, member accounts, and contracts
- Support for Quarterly CMS dictionary updates and related procedures
- Education: Any Graduate
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
