HealthEdge

HealthRules Payer Configuration Analyst

Remote, United States remote Entry $100,000 - $120,000
remote Technology & IT Salary listed Curated
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About the role

Overview
Who We Are:
UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.
We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.
Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.
You Are:
UST HealthProof is searching for a highly motivated Configuration Analyst to join our team. As a Configuration Analyst, you will be assigned to an implementation as a functional lead. You will analyze business requirements, configure, unit test provide requirements to offshore for configuration in HealthRules Payor. This role requires excellent communication, critical thinking skills and must be an analytical person who’s able to grasp customer needs and works with the team lead to develop solutions as needed to ensure a successful implementation.
The Opportunity:

Analyze business requirements, configure and unit test software (HealthRules Payor)

Ensure implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed

Work independently to solve and test complex scenarios

Analyze data and draw conclusions

Demonstrate excellent communication skills

Understand and execute automation tools

Must have three + years of experience/knowledge of HealthRules Payor, a claims processing system.

Assist other team members with complex issues related to their field of expertise

Work in a team environment and share knowledge

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
Qualifications:

Minimum high school diploma required. Professional degree preferred.

Minimum 2 years’ HealthRules Configuration Experience

Experience working in an offshore model is required

Skills & Competencies:

Microsoft Word, PowerPoint, Excel and Visio

Experience with Agile tools and methodologies including JIRA and SCRUM

Analytical Abilities

Critical thinking

Leadership ability

Familiar with debugging and testing concepts

Work with teams to quickly find and document root causes, and effectively communicate possible resolutions

Communicate effectively across all levels within Technology, Business and Operations

Approach problems as challenges and deal with them constructively while promoting this approach to the organization

Geographic Responsibility: Remote, US
Type of Employment: Full-time, permanent
FLSA Classification (USA Only): Exempt
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job: 
The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
Work across multiple time zones in a hybrid or remote work environment.
Long periods of time sitting and/or standing in front of a computer using video technology.
May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
**The annual US base salary range for this position is $100,000 to $120,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education. 
Originally posted on Himalayas

Interview prep

Walk in with sharper answers.

Use this as a quick practice sheet before you speak with the employer.

Role
Technology & IT Excel Operations Project Management Remote Collaboration remote

Likely questions

  1. Tell us about work you have done that is close to the HealthRules Payer Configuration Analyst role.
  2. How would you approach your first 30 days at HealthEdge?
  3. Which of Excel, Operations and Project Management have you used recently, and what did it help you achieve?
  4. Describe a time you solved a problem without waiting to be told exactly what to do.
  5. How do you stay organised and communicate clearly when working remotely?

Prepare before the call

  • A recent example that proves your experience with Excel, Operations and Project Management.
  • One short story with a problem, your action, and the result.
  • Two examples that show the strengths listed on your CV.
  • A clear reason why this role and company interest you.
  • Your availability, preferred work style, and salary expectations.

Ask them

  • What would success look like in the first 90 days?
  • What are the main problems this hire should help solve?
  • How does the team give feedback and measure good work?
  • What does a normal working week look like for this role?
Practice line

I am interested in the HealthRules Payer Configuration Analyst role because I can bring practical experience in Excel, Operations and Project Management, learn the team quickly, and contribute to the outcomes HealthEdge needs from this hire.

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