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Healthrules Configuration Analyst Jobs (NOW HIRING)

... benefit configuration, enrollment, and contract management - while partnering closely with ... Define and maintain the comprehensive AI product strategy for HealthRules Payer, aligned with ...

In this role, you will work primarily with HealthRules Payer, HealthEdge's core claims ... Analyze production data, recurring issues and operational trends to generate recommendations for ...

... Configuration teams to standardize processes and resolve issues. They may also oversee appeals ... Ability to analyze claims data and make informed decisions based on findings. * Experience:

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Healthrules Configuration Analyst information

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$15

$41

$68

How much do healthrules configuration analyst jobs pay per hour?

As of Sep 13, 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 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 are the key skills and qualifications needed to thrive as a Healthrules Configuration Analyst?

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 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.

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Infographic showing various Healthrules Configuration Analyst job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 88% Full Time, 6% Part Time, 1% Temporary, and 4% Contract. Highlights an 80% Physical, 7% Hybrid, and 13% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

Business Systems Analyst, Enrollment & Member/Provider Services

Manhattan, NY • On-site

$60 - $85/hr

Other

Posted 22 days ago


Job description

Seeking a Business Systems Analyst, Enrollment & Member/Provider Services to support Enrollment and Member/Provider Services operations through the implementation of HealthRules Payer (HRP) and GuidingCare, as well as post-go-live stabilization. This cross-functional role serves as a connector between business operations, IT, and external vendors. The Analyst will help ensure system changes are implemented correctly, data remains accurate, workflows are ready for transition, and both Enrollment and Member/Provider Services are supported throughout implementation and stabilization. Responsibilities: Support testing activities, including UAT execution, regression testing, and validation of system behavior. Perform data migration checks for enrollment, demographic, provider, and related datasets. Review system configurations for accuracy and completeness across HealthRules Payer and GuidingCare. Track issues, triage defects, and follow up to support timely resolution. Develop and update process documentation and standard operating procedures. Support operational readiness and stabilization planning ahead of go-live. Map and manage integration points between Enrollment and Member/Provider Services. Help ensure HRP and GuidingCare requirements remain aligned across functional areas. Coordinate workflow changes that affect multiple teams. Identify and help prevent duplication, misalignment, or conflicting decisions between departments. Provide ongoing system maintenance and configuration support after implementation. Serve as first-line support for operational issues related to HRP and GuidingCare. Oversee data-quality checks and reconciliation activities. Refine workflows and support continuous process optimization. Act as liaison between Operations, IT, and vendors regarding system enhancements, issues, and releases. Help maintain a positive member and provider experience through operational continuity and system accuracy. Preserve and document institutional knowledge gained during implementation and stabilization. Qualifications: Bachelor’s degree in Business Administration, Health Care Administration, Information Systems, Public Health, or a related field, OR Equivalent combination of education and relevant work experience in health plan operations, systems support, or business analysis. Enrollment experience. Large-scale system migration experience. System implementation experience. Experience with UAT, regression testing, system validation, defect tracking, or related implementation activities. Experience supporting data migration, data-quality validation, or reconciliation activities. Strong analytical thinking and problem-solving skills. Strong collaboration and relationship-building abilities. Customer-focused approach. Adaptability and learning agility. Strong attention to detail. Process orientation and commitment to continuous improvement. Hybrid schedule - 2 days in office near the financial district of Manhattan Please note that the salary range and/or hourly rate range of $60.00 to $85.00 per hour is a good faith determination of potential base compensation offered to applicants at the time of this job advertisement and may be subject to modification in the future. When determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). For consideration to this and/or other roles suitable for your background, please submit your most up-to-date resume to join our talent pool. At ATRIA Consulting, LLC, we are a woman-owned business fully committed to promoting, cultivating, and maintaining a culture of diversity, equity, and inclusion. We embrace and celebrate differences across all demographics and backgrounds. We encourage everyone to apply.