We are currently looking for a skilled Configuration Analyst - Health Rules for an exciting opportunity based in Jefferson City, MO, with a Hybrid/Onsite work arrangement.
The ideal candidate should have strong hands-on experience with HealthRules Payor configuration, healthcare integrations, and related integration technologies.
If you are interested, please share your updated resume and best contact number. I’d be happy to provide more details about the role.
Role: Configuration Analyst - Health Rules
Location: Jefferson City, MO
Duration: Long Term Contract
Rate: $50/HR on W2
RESPONSIBILITIES:
• 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.
EXPERIENCE/SKILLS:
MINIMUM REQUIREMENTS:
• Minimum of 3 years of experience in payer operations, claim processing, and experience deploying HealthRules Payor software.
• Minimum of 3 years of hands-on configuration experience in HealthEdge's HealthRules software.
• Must possess working knowledge of Medicare operations, system development and testing.
• Expertise in using Microsoft Office; including Excel, Word, Access, Power Point, and Visio.
• Experience working within a matrix organization. Excellent oral and written communication skills and the ability to interface with all levels of customer organization.
PREFERRED REQUIREMENT:
• Previous experience with CMS and Medicare Operations.
• Knowledge of or experience with ClaimXten, Axiom TranSend, and Axiom TransShuttle.
EDUCATION:
• Bachelor’s degree in business or health care preferred; demonstrated work experience may be considered in lieu of degree.
SKILLS:
• Collaboration, leadership, organizational, writing, interpersonal and communication skills.
