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Healthrules Configuration Analyst Jobs (NOW HIRING)

Cypress HCM

Director of Plan Operations

Lehi, UT · On-site

$65 - $90/hr

... of system configuration specialists, plan design specialists, and analysts that support the ... Mandatory proficiency in enterprise benefit platforms (e.g., Facets, QNXT, HealthRules, or similar ...

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Russell Tobin

Director of Plan Operations

Plano, TX

... team of system configuration specialists, plan design specialists, and analysts supporting ... Strong proficiency with enterprise benefit platforms such as Facets, QNXT, HealthRules, or similar ...

New

HealthEdge

With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital ... Understand, analyze, and creatively solve challenging customer requests while setting and ...

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Healthrules Configuration Analyst information

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$15

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How much do healthrules configuration analyst jobs pay per hour?

As of May 31, 2026, the average hourly pay for healthrules configuration analyst in the United States is $41.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $52.88 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Healthrules Configuration Analyst, and why are they important?

To thrive as a Healthrules Configuration Analyst, you need strong analytical skills, experience with health insurance operations, and a background in information systems or a related field. Proficiency with HealthEdge HealthRules Payor software, SQL, and familiarity with claims adjudication systems are typically required, along with relevant certifications like HealthEdge Certified Professional. Excellent problem-solving abilities, attention to detail, and effective communication are standout soft skills in this role. These competencies ensure accurate system configurations that support efficient claims processing and compliance with healthcare regulations.

How does a Healthrules Configuration Analyst typically collaborate with cross-functional teams during system implementations?

A Healthrules Configuration Analyst frequently works alongside project managers, business analysts, IT developers, and end-users to ensure accurate configuration of the Healthrules platform. During system implementations, they translate business requirements into system settings, conduct configuration testing, and troubleshoot issues collaboratively. This role requires strong communication skills, as analysts must explain technical details to non-technical team members and gather feedback for continuous improvement. Close teamwork is essential to ensure the configured solution aligns with organizational goals and regulatory standards.

What does a Healthrules Configuration Analyst do?

A Healthrules Configuration Analyst is responsible for configuring, maintaining, and optimizing HealthRules Payor or HealthRules CareManager systems used by health insurance companies. They analyze business requirements, implement system changes, and ensure that benefit plans, provider contracts, and other system rules are accurately reflected in the software. This role often involves collaborating with business analysts, IT teams, and end-users to support updates, troubleshoot issues, and ensure compliance with regulatory requirements. Their work helps healthcare organizations efficiently manage claims processing, member enrollment, and provider networks.

What is the difference between Healthrules Configuration Analyst vs Healthrules Support Specialist?

AspectHealthrules Configuration AnalystHealthrules Support Specialist
CredentialsTypically requires certifications in healthcare IT or health information systemsOften requires similar certifications but focuses more on support and troubleshooting
Work EnvironmentInvolves configuring, customizing, and optimizing Healthrules software for healthcare organizationsProvides technical support, troubleshooting, and user assistance for Healthrules users
Employer & Industry UsageUsed by healthcare providers, IT departments, and health IT vendorsEmployed in healthcare organizations, IT support teams, and vendor support centers

The Healthrules Configuration Analyst primarily focuses on configuring and customizing the Healthrules platform to meet organizational needs, while the Healthrules Support Specialist provides technical support and troubleshooting assistance. Both roles require healthcare IT knowledge and certifications, but their daily tasks and focus areas differ.

More about Healthrules Configuration Analyst jobs
What cities are hiring for Healthrules Configuration Analyst jobs? Cities with the most Healthrules Configuration Analyst job openings:
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What job categories do people searching Healthrules Configuration Analyst jobs look for? The top searched job categories for Healthrules Configuration Analyst jobs are:
Healthrules Configuration Analyst jobs near you
Infographic showing various Healthrules Configuration Analyst job openings in the United States as of May 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 38% In-person, and 62% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

HealthRules Configuration

Crea Services LLC

Sacramento, CA

Other

Posted 19 days ago

Job description

HealthRules Configuration

Sacramento, CA

Job description:

Primary Responsibilities

  • Lead HealthRules configuration activities for commercial group products, including:
    • Benefits configuration
    • Pricing and accumulator logic
    • Provider contracts
    • Claims processing rules
  • Triage, prioritize, and manage the configuration backlog, including:
    • Production defects
    • Enhancement requests
    • Annual readiness and renewal activities
  • Act as the primary intake point for configuration work from business owners and operations teams
  • Coordinate configuration handoffs and testing support with the offshore QA team
  • Provide technical guidance, oversight, and configuration code review for configuration analysts
  • Ensure configuration aligns with approved business requirements and testing standards
  • Deliver weekly status reporting to Client
  • Support operational stability
  • Operate in a ~20% supervisory / lead capacity, with the remainder in handson configuration and analysis

Required Skills & Experience

  • 7+ years of handson HealthRules Payer configuration experience
  • 3+ years supporting commercial group health plan configuration, including:
    • Deductibles
    • Outofpocket maximums
    • Accumulators
    • Tiered benefit designs
  • Expertlevel proficiency with:
    • HealthRules Designer
    • HealthRules Manager
    • HealthRules Language (HRL)
  • Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects
  • Strong understanding of endtoend claims processing and benefits configuration
  • Strong communication skills with ability to:
    • Partner with business stakeholders
    • Explain technical configuration decisions clearly

Apply