EXL

Analyzes business data and runs outsourced operations

Senior Executive

Manual & Functional QAConfirmed live in the last 24 hours

Full-timeNoida, Uttar Pradesh, IndiaNo salary listedIn-person

About the Job

Requirements

A graduate degree is required.
Knowledge of testing and claims processing, including Cotiviti rules and triggers such as FRE, UNB, MUE, non-covered, and bundled scenarios.
Knowledge of different products, member accounts, and contracts.
Experience with HealthRules Payor, the Cotiviti tool, and CXT rule changes and implementation.
Knowledge of quarterly Centers for Medicare & Medicaid Services dictionary updates and procedures.

Responsibilities

Execute and manage the end-to-end testing cycle for Cotiviti in HealthRules Payor.
Analyze and test to maintain HealthRules Payor while supporting changes in quarterly Centers for Medicare & Medicaid Services 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.

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

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.

About the Company

EXL

Analyzes business data and runs outsourced operations

EXL analyzes business data and runs outsourced operations for insurers, healthcare payers, banks, retailers, and other large organizations. Its teams combine industry expertise with data engineering and AI to handle tasks such as claims processing, payment reviews, customer service, and finance within existing technology environments. The company also builds software, including LifePRO, which manages insurance policies, and EXLdata.ai, which connects fragmented data for use in AI systems. Clients pay for consulting projects, ongoing managed services, and software delivered through the cloud. EXL was founded in 1999 and is headquartered in New York City.

Company size: 10,001+
Company stage: IPO
Headquarters: New York City, New York
Founded: 1999

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