Revenue Cycle InRule Architect – Brightree & Payer Rules

Cardinal Health

Columbus (OH)

On-site

USD 89,000 - 114,000

Full time

7 days ago
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Benefits offered by this job

Medical, dental, vision
Paid time off
HSA
401k
MyFlexPay access
FSAs
Disability insurance
Work-Life resources
Paid parental leave
Healthy lifestyle programs

Job summary

Cardinal Health is seeking a Manager of Revenue Cycle – InRule Administration to own payer‑specific business rules within InRule across our DME businesses. You will translate complex payer policies into scalable system rules and work with analysts to optimize end‑to‑end order‑to‑cash workflows with Brightree.

This role focuses on rule development, testing, deployment, and governance, collaborating with payer relations and IT to ensure accurate and efficient payer processing.

Qualifications

  • 5+ years of hands-on experience in healthcare technology, payer configuration, or related technical work.
  • Bachelor's degree in related field, or equivalent experience.
  • Experience with rule development/configuration, testing, debugging, deployment and production support.

Responsibilities

  • Own and optimize the InRule environment for Brightree integration.
  • Translate payer policies into technical rules and logic.
  • Develop, refactor, and tune rules and decision tables for scalability.
  • Adhere to governance standards for rule development and deployment.
  • Perform impact analysis, testing, validation, and troubleshooting of changes.
  • Maintain centralized inventory of payer rules and dependencies.
  • Monitor rule performance and identify defects or optimization opportunities.
  • Collaborate with IT and payer teams to translate changes into system updates.
  • Identify opportunities to prevent denials and unbilled revenue through better rules.
  • Provide technical direction and coaching to analysts without direct people-management responsibility.
  • Support InRule–Brightree integrations and data dependencies across environments.

Skills

Healthcare technology
Rule authoring
Debugging & troubleshooting
Analytical thinking

Education

Bachelor's degree in related field

Tools

InRule
Brightree
SQL
Rules engine experience

Job description

Cardinal Health is seeking a Manager of Revenue Cycle – InRule Administration to own payer‑specific business rules within InRule across our DME businesses. You will translate complex payer policies into scalable system rules and work with analysts to optimize end‑to‑end order‑to‑cash workflows with Brightree.

This role focuses on rule development, testing, deployment, and governance, collaborating with payer relations and IT to ensure accurate and efficient payer processing.

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