Payer Configuration Analyst

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $100k - $120k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Logo of HealthEdge

HealthEdge

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

📋 Description

• Analyze business requirements, configure and unit test software (HealthRules Payor) • Ensure implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed • Work independently to solve and test complex scenarios • Analyze data and draw conclusions • Demonstrate excellent communication skills

🎯 Requirements

• Minimum high school diploma required • Professional degree preferred • Minimum 2 years’ HealthRules Configuration Experience • Experience working in an offshore model is required • Microsoft Word, PowerPoint, Excel and Visio • Experience with Agile tools and methodologies including JIRA and SCRUM • Analytical Abilities • Critical thinking • Familiar with debugging and testing concepts

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Flexible work hours

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