Senior Executive

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

As a Senior Executive in Total Quality Management and Claims Management, you will play a key role in ensuring the accuracy, reliability, and quality of healthcare claims processing systems. You will manage end-to-end testing activities for Cotiviti within the HealthRules Payor (HRP) application, helping maintain compliance with evolving healthcare rules and requirements. Your work will include validating claims processing logic, testing system updates, and supporting quarterly updates to Centers for Medicare & Medicaid Services (CMS) dictionaries and procedures. You will collaborate with relevant teams to develop comprehensive test plans, execute test scenarios, and identify potential issues before implementation. Through detailed analysis and rigorous testing, you will help improve system performance, claims accuracy, and operational quality. This role offers an opportunity to apply your technical testing expertise in a structured healthcare technology environment.