Senior Executive

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Senior Executive based in India.

We are seeking a detail-oriented Senior Executive to support quality assurance and claims management within a healthcare payer environment. In this role, you will oversee end-to-end testing activities for claims processing systems, ensuring that business rules, configurations, and system updates function accurately and consistently. You will work with HealthRules Payor (HRP) and Cotiviti tools to validate claims processing logic and support the implementation of rule changes. The position involves developing test plans, executing unit and regression testing, and maintaining quality standards across system updates. You will also contribute to the validation of quarterly CMS dictionary updates and related procedural changes. This opportunity is well suited to a quality-focused professional with healthcare claims knowledge, strong analytical skills, and a commitment to accurate and reliable outcomes.