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HealthRules Payer Configuration Lead - NEED LOCAL TO CA CANDIDATES

Sacramento, CA, US • Posted 2 days ago • Updated 1 hour ago

Contract Corp To Corp

Contract W2

On-site

Depends on Experience

Fitment

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Job Details

Skills

HealthRules Payer Configuration
Deductibles
Outofpocket maximums
Accumulators
Tiered benefit designs
HealthRules Language (HRL)
Benefits configuration
Pricing and accumulator logic
Provider contracts

Summary

Role: HealthRules Configuration Lead

Location: Sacramento, CA (4 Days Onsite)

Duration: Long Term

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

Bachelors of Engineering or related fields.

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: 10119106
Position Id: 8965662
Posted 2 days ago

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