Revenue Cycle InRule Specialist – Payer Rules Engine

Cardinal Health

Atlanta (GA)

On-site

USD 89,000 - 114,000

Full time

6 days ago
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Benefits offered by this job

Medical, dental and vision coverage
Paid time off
401k savings plan
Health savings account (HSA)
Access to wages before pay day with my
Flexible spending accounts (FSAs)
Disability coverage
Parental leave

Job summary

Cardinal Health is seeking a Manager, Revenue Cycle – InRule Administration to own payer-specific rules within InRule across our DME businesses. You will translate complex payer policies into scalable system rules and ensure end-to-end order-to-cash workflows align with payer requirements.

The role requires 5+ years in healthcare technology, strong rule-engine experience, and collaboration with payer teams and IT to optimize rule performance.

Qualifications

  • Experience with healthcare payer policies and rules engines.
  • Ability to author, debug, and optimize complex rules.
  • Experience integrating with healthcare platforms (InRule/Brightree).

Responsibilities

  • Own InRule environment, including rule authoring and deployment.
  • Translate payer policies into technical business rules.
  • Develop and tune rules and decision tables for scalability.
  • Maintain change management and version control for rules.
  • Collaborate with IT and payer relations to implement updates.

Skills

Healthcare payer configuration
Business rules administration
Rules engine expertise
SQL/data fluency
Technical leadership

Education

Bachelor's degree or equivalent work experience

Tools

InRule
Brightree

Job description

Cardinal Health is seeking a Manager, Revenue Cycle – InRule Administration to own payer-specific rules within InRule across our DME businesses. You will translate complex payer policies into scalable system rules and ensure end-to-end order-to-cash workflows align with payer requirements.

The role requires 5+ years in healthcare technology, strong rule-engine experience, and collaboration with payer teams and IT to optimize rule performance.

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