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Business Rules Developer Jobs (NOW HIRING)

InterSources Inc

AS400 Developer

Issaquah, WA · On-site

They are seeking an AS400 Developer with excellent programming skills on the iSeries platform to analyze and create new programs, as well as document business rules effectively. Responsibilities ...

Kimley-Horn

Tolling Business Analyst

Pleasanton, CA · On-site

This role will help translate toll agency operations, policies, business rules, and system needs ... Coordinate with toll agencies, project managers, system integrators, operations teams, engineers, Q ...

Sprout

Business Systems Analyst

Garland, TX · On-site

Your job is to understand how operations actually works, translate that understanding into requirements our engineers can build against, and configure and support the business rules that make the ...

Sprout

Business Systems Analyst

Garland, TX · On-site

Your job is to understand how operations actually works, translate that understanding into requirements our engineers can build against, and configure and support the business rules that make the ...

Conflux Systems

Pega SSA Developer

Charlotte, NC · On-site

$60/hr

Pega SSA Developer (Constellation Architecture expertise) Location: Charlotte, NC (Hybrid - 3 days ... Develop case types, workflows, data objects, views, actions, validations, and business rules using ...

Inficare Technologies

Guidewire Lead Developer

Lake Dallas, TX · On-site +1

$57.25 - $75/hr

Guidewire Lead Developer Location: Dallas, TX (Full Remote) Job Type: Contract Duration: 6+ Months ... Design, develop, and maintain Guidewire business rules, workflows, integrations, and data model ...

Apex Systems

Sr/Lead Java Developer

Mclean, VA · On-site

$84/hr

Job#: 3047945 Java Developer ( Sr/Lead) Client: Capital One Location: Plano, TX (1 Opening ... Implement and enhance business rules and business processes within a large-scale enterprise ...

Cloudious

Guidewire PolicyCenter Developer

Urbandale, IA · On-site

$70 - $80/hr

Guidewire PolicyCenter Developer Bill Rate: $70 - $80/hour (Max) Job Type (Onsite / Hybrid / Remote ... Review the Offshore Development work in Areas of PCF Configuration Business Rules and Data Model ...

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Business Rules Developer information

What is a business rules developer?

Business Rules Developers are IT professionals who design, implement, and maintain business rules within software systems. They work closely with business analysts and stakeholders to translate organizational policies and procedures into automated rules that drive business processes. Their main focus is ensuring that software applications behave in accordance with business logic, regulations, and best practices. They often use specialized business rules management systems (BRMS) and programming languages to achieve this integration. Business Rules Developers play a critical role in helping organizations remain agile and compliant by allowing business logic to be updated without major code changes.

How does a business rules developer typically collaborate with other teams during a project?

Business Rules Developers often work closely with business analysts, project managers, and technical teams to ensure that business logic and requirements are accurately reflected in automated systems. Collaboration usually involves attending requirements-gathering sessions, clarifying rule logic, and participating in code reviews to align the technical implementation with business goals. Effective communication is key, as the developer must translate complex business requirements into actionable, maintainable code while ensuring that stakeholders are kept informed of progress and potential challenges.

What are the key skills and qualifications needed to thrive as a business rules developer, and why are they important?

To thrive as a Business Rules Developer, you need strong analytical skills, a background in computer science or information systems, and experience with business process modeling. Familiarity with business rules management systems (BRMS) such as IBM ODM or Drools, and proficiency in relevant programming languages or scripting are typically required. Excellent problem-solving abilities, attention to detail, and effective communication with stakeholders help set top performers apart. These skills enable accurate translation of business requirements into automated rules, ensuring efficiency and compliance in organizational processes.

What is the difference between Business Rules Developer vs Business Analyst?

AspectBusiness Rules DeveloperBusiness Analyst
Primary FocusDesigning, implementing, and maintaining business rules and logic in software systemsAnalyzing business processes, gathering requirements, and recommending solutions
Skills & CertificationsKnowledge of programming, business rules engines, and sometimes certifications like IIBA or CBAPStrong analytical skills, communication, and often IIBA or CBAP certifications
Work EnvironmentTypically in IT or software development teams within various industriesBusiness units, consulting firms, or project teams across industries

While both roles involve understanding business processes, Business Rules Developers focus on translating rules into technical implementations, whereas Business Analysts concentrate on gathering requirements and analyzing processes. They often collaborate but serve different functions in project development.

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Business Rules Developer jobs near you
Infographic showing various Business Rules Developer job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 14% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution.

Senior Business Analyst Claims Management Platform

VST Consulting, Inc

Atlanta, GA • On-site

$160K/yr

Other

Medical

This job post has expired 4 days ago. Applications are no longer accepted.

Job description

Job Title: Senior Business Analyst Claims Management Platform
Location: Atlanta, GA Onsite
Relocation: Open to Relocation
Job Type: Full-Time / FTE
Experience: 12+ Years
Salary: Up to $160K
Visa: -EAD, TN, L2

Job Summary

We are looking for an experienced Senior Business Analyst with strong expertise in US Health Insurance, Claims, Stop-Loss, TPA, Payer, and Data Platform programs. The ideal candidate should have extensive experience in requirements management, business process analysis, stakeholder engagement, business rules, claims data quality, reconciliation, and backlog refinement.

Key Responsibilities

  • Define and maintain business rules for claims data cleansing, standardization, corrections, reversals, and duplicate claims.
  • Own and refine the project backlog with Product Owners, SMEs, stakeholders, and technical teams.
  • Define rules for record matching, duplicate detection, and entity resolution.
  • Define member enrollment and eligibility rules and follow-up triggers.
  • Perform gap analysis between current-state processes, requirements, and proposed solutions.
  • Develop business requirements, user stories, acceptance criteria, and UAT scenarios.
  • Facilitate requirement workshops, stakeholder meetings, UAT sessions, and requirement walkthroughs.
  • Identify requirement gaps, ambiguities, risks, and conflicting business rules.
  • Partner with QA teams to create acceptance criteria and UAT test scripts.
  • Act as the bridge between business and technical teams to ensure solution alignment.

Good to Have

  • Working knowledge of SQL for data validation and analysis.
  • Healthcare claims and member eligibility experience.
  • Data migration and data transformation experience.
  • Data quality and reconciliation experience.
  • Experience with Jira or Azure DevOps.
  • Knowledge of HIPAA and healthcare data governance.

Required Domain Experience

US Health Insurance, Claims, Stop-Loss, TPA / Payer, Enrollment and Eligibility, COBRA, Leave of Absence (LOA), Coordination of Benefits (COB)

Mandatory Skills

Senior Business Analyst, US Health Insurance, Claims, Stop-Loss, TPA, Payer, Data Platforms, Requirements Management, Stakeholder Engagement, Business Process Analysis, Backlog Refinement, Business Rules, Eligibility Criteria, Data Governance, Claims Data Quality, Data Reconciliation, Duplicate Detection, Record Matching, Entity Resolution, UAT, User Stories, Acceptance Criteria, SQL, Agile/Scrum, Jira, Azure DevOps


Candidate Requirement

Candidates must have 12+ years of overall experience and relevant hands-on experience with the mandatory skills listed above.

Interested candidates can send their resume along with the exact years of experience for the primary skills to

Apply