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HealthEdge logo

HealthRules Payer Configuration Analyst

HealthEdge
Posted 2 weeks ago
🇺🇸United States🏠Remote💰$100.0K–$120.0K📁Healthcare/Clinical
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Overview Who We Are: UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all. We have a strong global presence and a dedicated workforce of over 4000 people spread across the world. Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively. You Are: UST HealthProof is searching for a highly motivated Configuration Analyst to join our team. As a Configuration Analyst, you will be assigned to an implementation as a functional lead. You will analyze business requirements, configure, unit test provide requirements to offshore for configuration in HealthRules Payor. This role requires excellent communication, critical thinking skills and must be an analytical person who’s able to grasp customer needs and works with the team lead to develop solutions as needed to ensure a successful implementation. The Opportunity: Analyze business requirements, configure and unit test software (HealthRules Payor) Ensure implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed Work independently to solve and test complex scenarios Analyze data and draw conclusions Demonstrate excellent communication skills Understand and execute automation tools Must have three + years of experience/knowledge of HealthRules Payor, a claims processing system. Assist other team members with complex issues related to their field of expertise Work in a team environment and share knowledge This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. Qualifications: Minimum high school diploma required. Professional degree preferred. Minimum 2 years’ HealthRules Configuration Experience Experience working in an offshore model is required Skills & Competencies: Microsoft Word, PowerPoint, Excel and Visio Experience with Agile tools and methodologies including JIRA and SCRUM Analytical Abilities Critical thinking Leadership ability Familiar with debugging and testing concepts Work with teams to quickly find and document root causes, and effectively communicate possible resolutions Communicate effectively across all levels within Technology, Business and Operations Approach problems as challenges and deal with them constructively while promoting this approach to the organization Geographic Responsibility: Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job: 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. The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check. HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities. #LI-Remote ** The annual US base salary range for this position is $100,000 to $120,000 . 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.

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