HealthRules Configuration Lead

Remote • Posted 4 hours ago • Updated 4 hours ago
Full Time
No Travel Required
Remote
$87,029 - $108,110/yr
Fitment

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Job Details

Skills

  • HealthRules configuration
  • HealthRules Payer

Summary

About ITC Infotech:

ITC Infotech is a wholly owned subsidiary of ITC Limited, one of India's foremost private sector companies and a diversified conglomerate. The ITC Group, with a market capitalization of $65 billion, is globally recognized as a leader in sustainability. The group's vision is to achieve world-class performance and create growing value for both the Indian economy and its stakeholders. This vision is supported by core values such as Trusteeship, where professional managers hold the company in "trust" for its stakeholders; a strong Customer Focus; Respect for People; a commitment to Excellence; a pursuit of Innovation; and a strong Nation Orientation.

ITC Infotech's business philosophy is that business is at the center and technology is an enabler, as reflected in its tagline, "Business-friendly Solutions." The company offers a wide range of services and solutions across key business areas, including CIO Services (Automation, Digital Workplace, ERP), Digital Experience (Experience Transformation), and Product 4.0 (Product Lifecycle Management, Digital Manufacturing). In the last seven years, ITC Infotech has successfully doubled its revenue from $250 million to $500 million+ annually, with its EBIT improving from 8% to over 18%.

With this strong growth momentum, ITC Infotech is now embarking on its next journey, known as 'Next Orbit,' with the ambitious goal of reaching $1 billion in annual revenue within the next four years. The Americas region is a critical part of this charter and is expected to increase its contribution to total revenue from the current 35% to a range of 40% to 50%. Manufacturing is a key vertical for the group and ITC Infotech with BFSI, Retail, CPG, Travel, Transportation & Hospitality being others.

Role - HealthRules Configuration Lead

Start Date: Immediate

Position Type: Full Time (Medical, 401K, PTO etc.)

Job description:

Primary Responsibilities

  • Lead HealthRules configuration activities for commercial group products, including:
  • Benefits configuration
  • Pricing and accumulator logic
  • Provider contracts
  • Claims processing rules
  • Triage, prioritize, and manage the configuration backlog, including:
  • Production defects
  • Enhancement requests
  • Annual readiness and renewal activities
  • Act as the primary intake point for configuration work from business owners and operations teams
  • Coordinate configuration handoffs and testing support with the offshore QA team
  • Provide technical guidance, oversight, and configuration code review for configuration analysts
  • Ensure configuration aligns with approved business requirements and testing standards
  • Deliver weekly status reporting to Client
  • Support operational stability
  • Operate in a ~20% supervisory / lead capacity, with the remainder in handson configuration and analysis

Required Skills & Experience

  • 7+ years of handson HealthRules Payer configuration experience
  • 3+ years supporting commercial group health plan configuration, including:
  • Deductibles
  • Outofpocket maximums
  • Accumulators
  • Tiered benefit designs
  • Expertlevel proficiency with:
  • HealthRules Designer
  • HealthRules Manager
  • HealthRules Language (HRL)
  • Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects
  • Strong understanding of endtoend claims processing and benefits configuration
  • Strong communication skills with ability to:
  • Partner with business stakeholders
  • Explain technical configuration decisions clearly

Preferred Qualifications

  • Experience with provider network configuration and pricing schedules
  • Prior experience working in a staff augmentation or managed services delivery model
  • Experience supporting annual benefit renewals and readiness cycles
  • Experience working with offshore QA or testing teams

Education

  • Bachelor s of Engineering or related fields.

ITC Infotech is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation. All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. ITC infotech is committed to providing veteran employment opportunities to our service men and women.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10117916
  • Position Id: 9053871
  • Posted 4 hours ago
Contact the job poster
GS

Gopinath Subramaniam

Recruiter @ ITC Infotech (USA), Inc
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