[Hiring] HealthRules Payer Configuration Analyst @HealthEdge

Role Description

HealthEdge is searching for a highly motivated HealthRules Payer Configuration Analyst to join our team. As an HealthRules Payer Configuration Analyst, you will have expertise in multiple modules of HealthRules Payer configuration to support daily operations of an assigned client. You will interact with the client and offshore counterparts to work tickets and meet client’s business needs. You will manage incidents, gather requirements, configure, unit test and provide requirements to offshore for configuration. In addition, the Configuration Analyst will validate offshore configuration activities by performing peer reviews and monitoring claim impact reports for accuracy and integrity. As an operations team member, you will have opportunities to improve processes through automation, driving efficiency and reducing manual effort.

Qualifications

• Strong analytical and problem-solving skills.
• 2+ years HealthRules Payer Configuration experience.
• Hands-on experience within Pricing and Contracts; Source and Editing experience preferred.
• Eagerness to learn and adapt to a fast-paced environment.

Requirements

• Must have excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively with both the client and offshore team members.
• Analyzes claim impact reports for reprocessing projects to assess financial impact, and performs quality reviews to ensure analytical accuracy and integrity.
• Identifies opportunities to improve processes through automation, driving efficiency and reducing manual effort.
• Must have experience in at least one module of HealthRules Payer (i.e., Benefits, Pricing, Claims, Finance, etc).
• Analyze business requirements, configure and unit test software (HealthRules Payer).
• Approach problems as challenges and deal with them constructively while promoting this approach to the organization.
• Work independently and with a team to solve and test complex scenarios.
• Track tickets and formulate plan to remediate any issues as needed.
• Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

Benefits

• The annual US base salary range for this position is $85,000 to $100,000.
• This salary range may cover multiple career levels at HealthEdge.
• Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.

Geographic Responsibility

• Remote, US

Type of Employment

• Full-time, permanent

Work Environment

• The employee is occasionally required to move around the office.
• Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Work across multiple time zones in a hybrid or remote work environment.
• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.