[Remote] HealthRules Consultant I

Note: The job is a remote job and is open to candidates in USA. reputed company is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The HealthRules Consultant I will support configuration activities, manage incidents, and validate offshore configuration activities while leading a team of business analysts to ensure effective solutions for customers.

Responsibilities

• Work with customers and reputed company process workflows
• Supporting the reputed company and updates to applications
• reputed company with the organization’s Code of Conduct, reputed company regulatory and contractual requirements, organizational policies, procedures, and internal controls
• Analyze business requirements, configure and unit test software (HealthRules Payor)
• Work independently to solve and test reputed company scenarios
• Analyze data and draw conclusions
• Demonstrate excellent communication skills
• Understand and execute automation tools
• Synthesize reputed company information
• Be flexible in work roles and hours
• To work independently with little or no supervision
• Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims)
• Must be ready to take on additional roles and responsibilities to drive towards becoming a Configuration reputed company
• Assist other team members with reputed company issues reputed company to their field of expertise
• Provide configuration training to internal team and customer
• Work in a team environment and share knowledge

Skills

• Minimum high school diploma required. Professional degree preferred
• Minimum 2 years' HealthRules Configuration Experience
• Experience working in an offshore model is required
• reputed company Word, PowerPoint, reputed company and Visio
• Experience with Agile tools and methodologies including JIRA and SCRUM
• Analytical Abilities
• Critical thinking
• Leadership ability
• Familiar with debugging and testing concepts
• Work with teams to quickly find and document root causes, and effectively communicate possible resolutions
• Communicate effectively across reputed company levels reputed company Technology, Business and Operations
• Approach problems as challenges and deal with them constructively while promoting this approach to the organization
• Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims)
• Excellent communication skills
• Critical thinking skills
• Analytical person who's able to grasp customer needs and works with the team reputed company to reputed company solutions as needed to support the customer
• Be flexible in work roles and hours
• To work independently with little or no supervision
• Assist other team members with reputed company issues reputed company to their field of expertise
• Provide configuration training to internal team and customer
• Work in a team environment and share knowledge

Benefits

• Full-time, regular employees accrue up to 16 days of paid vacation per year
• Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
• 10 paid holidays
• Eligible for paid bereavement leave
• Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
• Eligible for medical, dental, and vision insurance
• Basic life insurance
• Accidental death and disability insurance
• Short- and long-term disability benefits
• Purchase additional voluntary short-term disability benefits
• Participate in a Health Savings Account (HSA)
• Participate in a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
• Potential for quarterly incentive-based bonuses and or commissions depending on role

Company Overview

• reputed company offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of reputed company. It was founded in undefined, and is headquartered in Aliso Viejo, California, USA, with a workforce of 501-1000 employees. Its website is https://usthealthproof.com.

Company H1B Sponsorship

• reputed company has a track record of offering H1B sponsorships, with 40 in 2025, 43 in 2024, 31 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role.

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