Health Rules Payer Configuration Specialist

ClinDCast, LLC; United States; On-site; USD 90,000 - 120,000; Full time

Job summary

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.

Qualifications

• 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.

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.

Skills

HRP configuration

HRP testing

Payer operations

Analytical skills

Communication

Tools

HealthEdge HRP

Job description

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.