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Healthrules Jobs (NOW HIRING)

HealthEdge

HealthRules Payer Configuration Analyst

$100K - $120K/yr

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 ...

HealthEdge

Product Manager

Overview Position Overview HealthEdge is seeking an experienced Product Manager to lead the strategy and delivery of the new HealthRules Payer (HRP) WebUI - the modern web-based interface replacing ...

Centivo

Claims Business Analyst

Buffalo, NY

Familiarity with Centivo's claims systems (Javelina and HealthRules Payer) is preferred. You will coordinate with all business units and external vendors during client implementations and conversions ...

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How much do healthrules jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for healthrules in the United States is $22.41, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

What is a HealthRules?

A HealthRules job typically refers to a role involving HealthRules software, which is a healthcare claims and benefits administration platform developed by HealthEdge. Professionals in these roles work with configuring, managing, or supporting the HealthRules Payor system for health insurance companies. Responsibilities may include claims processing, system implementation, troubleshooting, and optimizing workflows. These jobs are common in healthcare IT, insurance, and managed care organizations.

What are the key skills and qualifications needed to thrive in the HealthRules position, and why are they important?

To thrive as a HealthRules Configuration Analyst, you need strong analytical skills, attention to detail, and a solid understanding of healthcare business processes, typically supported by experience with claims and benefits administration. Proficiency in configuring and maintaining HealthRules Payor, a leading healthcare claims management system, is essential, and familiarity with SQL and data analytics tools is highly valued. Excellent problem-solving capabilities, teamwork, and communication skills help you collaborate effectively with IT teams and business stakeholders. These skills are crucial for ensuring accurate system configuration, efficient claims processing, and adherence to regulatory requirements in healthcare organizations.

What are some typical challenges faced by HealthRules Configuration Analysts in their daily work?

HealthRules Configuration Analysts often navigate the complexities of interpreting dynamic healthcare policies and translating them into accurate system configurations. They may encounter challenges such as resolving discrepancies between business requirements and system capabilities, adapting to changing regulations, and troubleshooting unexpected processing issues. Collaboration is key, as analysts work closely with business users, developers, and QA teams to ensure seamless claim processing. Successfully overcoming these challenges requires a deep understanding of both the HealthRules platform and the healthcare industry, as well as strong communication and problem-solving skills.

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What states have the most Healthrules jobs?

States with the most job openings for Healthrules jobs include:

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Healthrules jobs near you
Infographic showing various Healthrules job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 6% Part Time, and 6% Contract. Highlights an 65% In-person, and 35% Remote job distribution, with an average salary of $46,613 per year, or $22.4 per hour.

Healthedge/ Healthrules Configuration Consultant

RELQ TECHNOLOGIES LLC

Exton, PA • Remote

Other

Re-posted 25 days ago

Job description

Healthedge/ Healthrules Configuration QA Consultant (with HealthRules Payor (HRP) experience)

100% Remote

6+ months

Key Responsibilities:

  • Develop and execute test strategies and scripts using HealthRules Language (HRL).
  • Validate benefit configurations, plan design, and logic within the HRP platform.
  • Perform end-to-end testing of member benefits, including copays, coinsurance, accumulators, and claim adjudication logic.
  • Work with BA and config teams to interpret benefit requirement documents (BRDs) and translate them into test cases.
  • Identify configuration errors and work with cross-functional teams to resolve issues.
  • Automate benefit validation and testing using HRL and available tools.
  • Participate in test planning, defect triage, and release support activities.
  • Prepare testing documentation including traceability matrices, test data sets, and test summary reports.

Required Skills:

  • Proficiency in HRL (HealthRules Language).
  • Strong experience with HealthRules Payor (HRP) platform.
  • In-depth understanding of healthcare benefits, claims processing, and member enrollment.
  • Experience in testing benefit plan logic and configuration.
  • Ability to create and manage complex HRL scripts for validation purposes.
  • Familiarity with HIPAA standards, especially 834/837 transactions (preferred).
  • Experience with SQL for backend data validation.
  • Knowledge of Agile methodologies and tools like JIRA, Confluence, etc.