Overview
Remote
Full Time
Part Time
Accepts corp to corp applications
Contract - Independent
Contract - W2
Skills
Payer
EDI ANSI X12
EDIFACT
Job Details
Title: HealthRules Configuration Consultant
Location: REMOTE (But Need to go Office for initial 3 days (01/06, 01/07, 01/08/2026) in Ventura, CA and Travel Expenses will be paid)
Interview: MS Teams
Duration: 12+ Months
- 3+ years with HealthRules Payer
- The candidate must have experience in configuring capitated members on HealthRules, specifically for Medi-Cal lines of business
- Set up and manage benefit plans, provider contracts, claims adjudication, and pricing logic within HealthRules.
- Strong analytical, problem-solving, and communication skills
Raj Kiran
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