HealthRules Payer Configuration Manager

Overview

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.

Qualifications

• Bachelor's degree in a related field required
• Must have 4+ years of experience/knowledge of HealthRules Payor, a claims processing system
• Experience in implementing one or more line of business – Medicare, Medicaid, and/or Commercial, Self-funded etc.
• Experience working in an offshore model is required

Skills & Competencies

• Demonstrate strong analytical and problem-solving skills to identify root causes and implement effective solutions
• Demonstrate eagerness to learn and the ability to adapt quickly in a dynamic, fast-paced environment
• Excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively
• Detail oriented
• Good communication skills
• Self-starter
• Microsoft Word, PowerPoint, Excel and Visio
• Experience with Agile tools and methodologies including JIRA and SCRUM

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.

Pay

The annual US base salary range for this position is $110,000 to $130,000. 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.