Configuration Analyst - Health Rules

Excelon Solutions; United States; On-site; USD 70,000 - 100,000; Full time

Job summary

Excelon Solutions is seeking a skilled HealthRules Payor configuration specialist to design, test, and implement Payor configurations and policy changes. You will work with business users and technical teams to translate requirements into configurable rules and maintain documentation.

Responsibilities include testing releases, training users, and supporting timely updates in response to contracts, legislation, and procedures, ensuring alignment with Medicare business goals.

Job description

• Design, Develop, Configure and Test HealthRules Payor configuration, contracts, products, and policies to Implement HealthRules Payor.
• Analyze, configure, test, implement and maintain HealthRules Payor to support changes in contracts, products, legislation, policies, and procedures, ensuring timely maintenance and updates of configuration.
• Test, implement and train on new HealthRules Payor and third party product releases, modules and updates.
• Assist in the development of test scenarios for changes and/or projects. Manage the timely resolution of open testing bugs and issues. Develop and monitor postproduction audit reports to ensure the intent of change and/or project requirements is being met.
• Develop and maintain configuration documentation and communicate changes, as appropriate.
• Work with Business Users, Technical team and QA to create detailed functional requirements that support and align to business requirements and testing scenarios.
• Research and respond to service requests in a prompt and timely manner and update or build configuration in HealthRules Payor as needed.
• Recommend and draft new and updated procedures to maximize the use of HealthRules Payor and other third-party products to improve efficiency.
• Inform leader and peers of changes that will impact Company’s Medicare business. Research and recommend methods to improve or implement necessary changes in a prompt and efficient manner.