HealthRules Payer Configuration Manager at HealthEdge | Torre
HealthRules Payer Configuration Manager
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HealthEdge

HealthRules Payer Configuration Manager

HealthEdge
Emma
Emma
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Full-time

Legal agreement: Employment

Compensation
USD110k - 130k/year
location_on
Remote (for United States residents)
Shared by
Emma of Torre.ai
 about 2 months ago

Responsibilities

Who We Are:UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.You Are:UST HealthProof is searching for a highly motivated and experienced Manager of Configuration – Implementation to join our growing team. In this leadership role, you will oversee a team of configuration analysts—both onshore and offshore—to ensure the successful delivery of a fully configured HealthRules system. You will be responsible for aligning implementation efforts with company standards and ensuring all project milestones and goals are met.The Opportunity:Play a leadership role to support and drive active implementation initiative, which will be client facing as well as working with other areas in the organization.Play a key role in advising clients on their business problems as a Subject Matter Expert (SME).Responsible for ensuring implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed.Collaborate with cross-functional teams to support seamless project execution.Lead and mentor a geographically distributed team (onshore and offshore), providing guidance, support, and resolution of complex issues to ensure high-quality deliverables and continuous professional development.Qualifications:Bachelor's degree in a related field requiredMust have 4+ years of experience/knowledge of HealthRules Payor, a claims processing systemMust 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 requiredSkills & Competencies:Demonstrate strong analytical and problem-solving skills to identify root causes and implement effective solutionsDemonstrate eagerness to learn and the ability to adapt quickly in a dynamic, fast-paced environmentExcellent communication skills and presentation skills including the ability to convey business requirements/configuration effectivelyDetail orientedGood communication skillsSelf-starterMicrosoft Word, PowerPoint, Excel and VisioExperience with Agile tools and methodologies including JIRA and SCRUMGeographic Responsibility: Remote, USType of Employment: Full-time, permanentFLSA Classification (USA Only): ExemptWork Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this
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