EHR Rules Architect – MEDITECH Expanse (Irish Payers)

UPMC Ireland; Dublin; Hybrid; EUR 70,000 - 100,000; Part time

Benefits offered by this job

Fully paid maternity/paternity leave

Competitive pension plan

Death in service benefit x3

Critical illness cover

Flexible working

Job summary

UPMC Ireland is seeking an EHR Rules Specialist to lead complex MIS Rules and insurance configuration within the MEDITECH Expanse platform. The role collaborates with patient access, billing, claims, finance, and clinical teams to ensure accurate account assignment and compliant payer processing.

The successful candidate will translate Irish insurer requirements into reliable system configurations, develop rule-based automation, and drive testing, documentation, and defect resolution across the

Qualifications

• Bachelor’s degree in Health Information Management, Healthcare Administration, Finance, Business, Information Systems, or a related field.
• Minimum of 3 years’ experience in healthcare revenue cycle operations, insurance, billing, claims, reimbursement, collections, contract management, or related function.
• Experience designing or building complex insurance plans, packages, reimbursement logic, payment agreements, billing rules, or contract rules in an EHR/ERP or revenue cycle platform.
• Experience with Irish private health insurance arrangements and the operational application of insurer plans, packages, and reimbursement requirements.
• Strong understanding of healthcare billing, claims, collections, payment agreements, package pricing, contract reimbursement models, and financial reconciliation.
• Proven analytical and problem-solving capability, including tracing complex rule logic and validating financial outcomes.
• Ability to translate business, policy, and contractual requirements into clear system design and testable configuration.
• Strong documentation, communication, and stakeholder management skills across operational, financial, clinical, and technical teams.
• Hands-on experience building Irish insurance plans and package structures in another major EHR, ERP, patient accounting, or revenue cycle platform.
• Practical knowledge of Irish insurance billing and reimbursement workflows and how configuration affects billing and reimbursement.
• Ability to learn MEDITECH Expanse configuration rapidly and apply disciplined build, testing, documentation, and defect-resolution methods.

Responsibilities

• Specialist Build Accountability: Insurance, MIS Rules and Reimbursement.
• Design, build, maintain, optimise, and troubleshoot MIS Rules within MEDITECH Expanse.
• Translate Irish insurer requirements, organisational policies, payment agreements, package pricing structures, and reimbursement models into accurate and maintainable system configuration.
• Develop and validate rule-based automation for account assignment, insurance plan selection, billing workflows, payer processing, claims handling, and related revenue cycle activities.
• Configure and maintain Payment Agreement functionality to support accurate reimbursement and billing outcomes.
• Ensure MIS Rules and reimbursement configuration support accurate billing, claims, collections, financial reporting, and downstream reconciliation.
• Analyse rule execution, identify unintended outcomes or gaps, and resolve system defects affecting billing or reimbursement.
• Assess the impact of proposed rule changes across registration, scheduling, charge capture, coding, billing, claims, payment posting, collections, reporting, and financial interfaces.
• Apply disciplined configuration management, documentation, and peer-review practices to complex insurance and reimbursement build.

Skills

Rule design

Analysis

Documentation

Stakeholder management

MEDITECH Expanse familiarity

Education

Bachelor’s degree in Health Information Management / related field

Tools

Irish insurance knowledge

EHR/revenue cycle platforms

Job description

UPMC Ireland is seeking an EHR Rules Specialist to lead complex MIS Rules and insurance configuration within the MEDITECH Expanse platform. The role collaborates with patient access, billing, claims, finance, and clinical teams to ensure accurate account assignment and compliant payer processing.

The successful candidate will translate Irish insurer requirements into reliable system configurations, develop rule-based automation, and drive testing, documentation, and defect resolution across the