Healthrules Configuration Analyst Jobs in Ohio (NOW HIRING)

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.

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.

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.