Health Rules Payer Configuration Analyst

ClinDCast, LLC; United States; Hybrid; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

ClinDCast, LLC is seeking a Health Rules Payer (HRP) Configuration Analyst to configure and support payer business processes within the HealthEdge HRP platform. You will work with business and technical teams to implement benefits, rules, and system enhancements.

The role emphasizes analyzing requirements, ensuring configuration accuracy, and collaborating with stakeholders across testing and production support. Healthcare IT expertise and payer knowledge are essential for success.

Qualifikationen

• Hands-on experience with HealthEdge Health Rules Payer (HRP).
• Strong understanding of healthcare payer operations, claims, benefits, and provider management.
• Experience in configuration, testing, and implementation support.
• Excellent analytical, problem-solving, and communication skills.
• HealthEdge certification or related payer system experience is a plus.

Aufgaben

• Configure and maintain Health Rules Payer (HRP) components, including benefits, products, providers, and claims.
• Analyze business requirements and translate them into system configurations.
• Support testing, troubleshooting, and production issue resolution.
• Collaborate with business stakeholders and development teams on system enhancements.
• Ensure configuration accuracy and compliance with payer business rules.

Kenntnisse

HRP configuration

HRP testing

Payer operations

Analytical skills

Communication

Tools

HealthEdge HRP

Jobbeschreibung

Job Description:

Job Title: Health Rules Payer Configuration Analyst

Job Summary:
We are seeking a Health Rules Payer (HRP) Configuration Analyst with experience in configuring and supporting payer business processes within the HealthEdge Health Rules Payer platform. The ideal candidate will work closely with business and technical teams to implement benefit plans, claims processing rules, and system enhancements.

Key Responsibilities:

• Configure and maintain Health Rules Payer (HRP) components, including benefits, products, providers, and claims.
• Analyze business requirements and translate them into system configurations.
• Support testing, troubleshooting, and production issue resolution.
• Collaborate with business stakeholders and development teams on system enhancements.
• Ensure configuration accuracy and compliance with payer business rules.

Required Skills:

• Hands-on experience with HealthEdge Health Rules Payer (HRP).
• Strong understanding of healthcare payer operations, claims, benefits, and provider management.
• Experience in configuration, testing, and implementation support.
• Excellent analytical, problem-solving, and communication skills.
• HealthEdge certification or related payer system experience is a plus.

ClinDCast offers Healthcare IT solutions and consulting services to payers, providers and life sciences organizations enabling them to enhance care delivery to patients.