Health Rules Payer (HRP) Manager

Health Rules Payer, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.

Responsibilities: -

• Responsible for delivering configuration services in support of HealthRules.
• Coordinate with the CT config leads across implementations & customer configuration leads regarding HealthRules Payor configuration work assignments to support the HRP Implementation / Migration.
• Requirements gathering, definition, and configuration of the system and workflows to meet specific business needs.
• Responsible for configuring the accounts, benefit plants, fee schedules, match criteria, validation policies etc.,
• Assist in capturing client requirements for product configuration to support different LOBs.
• Ability to work with multiple stakeholders and meeting their expectation.
• Should be a client advisor for HealthRules Payor configurations or HealthRules Care Manager products.
• Ensure unique customer needs are properly translated into business terms and communicated across all applicable domains.
• Work closely with stakeholders (i.e. business unit personnel, business experts, other staff, vendors, and contractors) to understand and document project business and system requirements and workflows.
• Work directly with users and customers to identify needs and resolve software configuration problems.
• Manage time effectively, communicate status accurately to stakeholders including project managers.
• Develop infrastructure necessary to support quality and efficient configuration deliverables within the respective core claims platform using the right shore model / approach.
• Oversee Quality Assurance activities to confirm the configuration work performed by Global resources meets quality standards before delivery to the customer.
• Occasional travel as required to support practice initiatives or customer requests.