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.
Payer Configuration Manager
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $110k - $130k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🦅 H1B Visa Sponsor
📊 Check your resume score for this job
Improve your chances of getting an interview by checking your resume score before you apply.
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
• Oversee a team of configuration analysts to ensure successful delivery of a fully configured HealthRules system. • Align implementation efforts with company standards and ensure all project milestones and goals are met. • Collaborate with cross-functional teams to support seamless project execution. • Lead and mentor a geographically distributed team, providing guidance and support.
🎯 Requirements
• Bachelor's degree in a related field required • Must have 4+ years of experience/knowledge of HealthRules Payor, a claims processing system • Must have 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
🏖️ Benefits
• No explicit benefits listed
Apply NowSimilar Jobs
🔥 0 minutes ago
Renewal Manager overseeing end-to-end renewal experience and broker relationships at Angle Health. Focused on retention strategies and enhancing customer experience in healthcare.
🔥 0 minutes ago
Regional Meetings & Events Program & Technology Manager at ALTOUR managing global program for corporate travel management. Overseeing operations, user support, compliance monitoring, and training.
🔥 0 minutes ago
Strategic Accounts Manager managing complex accounts at Medline. Drive sales strategies, oversee account management, and report on performance with a focus on service and profitability.
🇺🇸 United States – Remote
💵 $101k - $152k / year
💰 Private Equity Round on 2021-06
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
🔥 6 minutes ago
Cleveland Clinic
10,000+ employees
Regional Manager overseeing Utilization Management operations including reviews and team collaboration at Cleveland Clinic. Managing daily operations and leading performance improvement initiatives within the region.
🔥 12 minutes ago
Senior CoreValve District Manager for Medtronic, leading sales activities and team development in the medical technology sector. Responsible for achieving revenue targets while mentoring the sales team.
