Coordinate with the CT config leads across implementations & customer configuration leads regarding HealthRules Payor configuration work assignments to support the HRP Implementation / Migration.
Quick apply
Coordinate with the CT config leads across implementations & customer configuration leads regarding HealthRules Payor configuration work assignments to support the HRP Implementation / Migration.
Healthrules Payor information
See Chicago, IL salary details
$13.12 - $14.41
2% of jobs
$14.41 - $15.69
7% of jobs
$16.69 is the 25th percentile. Wages below this are outliers.
$15.69 - $16.97
20% of jobs
$16.97 - $18.26
17% of jobs
The median wage is $18.52 / hr.
$18.26 - $19.54
18% of jobs
$20.48 is the 75th percentile. Wages above this are outliers.
$19.54 - $20.82
15% of jobs
$20.82 - $22.11
9% of jobs
$22.11 - $23.39
5% of jobs
$23.39 - $24.67
4% of jobs
$24.67 - $25.96
2% of jobs
$25.96 - $27.24
0% of jobs
$13
$19
$27
How much do healthrules payor jobs pay per hour?
As of Sep 10, 2026, the average hourly pay for healthrules payor in Chicago, IL is $19.44, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.82 per hour, depending on experience, location, and employer.
What is HealthRules Payor?
HealthRules Payor is a core administrative processing system (CAPS) used by health plans and insurance companies to manage critical business operations such as claims processing, member enrollment, and provider management. It is designed to be flexible, scalable, and configurable to meet the evolving needs of health insurers. HealthRules Payor helps organizations improve efficiency, ensure compliance with regulations, and deliver better service to members and providers. The system can integrate with other healthcare IT solutions and supports value-based care initiatives.
What are the key skills and qualifications needed to thrive as a HealthRules Payor specialist?
To thrive as a HealthRules Payor specialist, you need a solid understanding of healthcare insurance operations, business analysis, and experience with payer systems, often supported by relevant degrees or certifications in healthcare IT or business. Proficiency in HealthRules Payor software, claims processing platforms, and data analysis tools like SQL or Excel is typically required. Strong problem-solving, communication, and stakeholder management skills help specialists excel in collaborating across technical and business teams. These skills are critical for ensuring the effective configuration, implementation, and optimization of HealthRules Payor systems, which support accurate claims processing and regulatory compliance.
What are some common challenges HealthRules Payor professionals face when implementing system upgrades or new modules?
Healthrules Payor professionals often encounter challenges related to system integration, data migration, and adapting to changing regulatory requirements during upgrades or the implementation of new modules. Ensuring that existing workflows are not disrupted and that all users are properly trained on new functionalities is critical. Collaboration with IT, compliance, and business operations teams is essential to address issues quickly and maintain seamless claims processing and member management throughout the transition.
What is the difference between Healthrules Payor vs Health Insurance Underwriter?
| Aspect | Healthrules Payor | Health Insurance Underwriter |
|---|---|---|
| Required Credentials | Typically requires a degree in health administration, business, or related field; certifications like CPCU or AHIP are common | Requires a degree in finance, economics, or actuarial science; professional certifications like ASA or FSA are often preferred |
| Work Environment | Office-based, working with healthcare data, policy management, and payer systems | Office-based, analyzing risk, reviewing policy applications, and calculating premiums |
| Employer & Industry Usage | Used by health insurance companies, healthcare payers, and managed care organizations | Employed by insurance companies, reinsurance firms, and actuarial consulting firms |
While both roles involve working within the health insurance industry, Healthrules Payor focuses on managing healthcare payer systems and policy administration, whereas Health Insurance Underwriters primarily assess risk and determine policy premiums. Understanding these differences helps clarify career paths and job expectations in the health insurance sector.
What are popular job titles related to Healthrules Payor jobs in Chicago, IL?
For Healthrules Payor jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Healthrules Payor jobs in Chicago, IL look for?
The top searched job categories for Healthrules Payor jobs in Chicago, IL are:
Asst Vice President - I_Healthcare
Chicago, IL • Remote
VeeRteq Solutions Inc.
Contractor
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Job Description:
Job Title: Asst Vice President - I_Healthcare
Location: Remote
As an AVP -Health Rules Payer, you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards .
Responsibilities: -
• Responsible for delivering configuration services in support of HealthRules.
• Coordinate with the CT config leads across implementations & customer configuration leads regarding HealthRules Payor configuration work assignments to support the HRP Implementation / Migration.
• Requirements gathering, definition, and configuration of the system and workflows to meet specific business needs.
• Responsible for configuring the accounts, benefit plants, fee schedules, match criteria, validation policies etc.,
• Assist in capturing client requirements for product configuration to support different LOBs.
• Ability to work with multiple stakeholders and meeting their expectation.
• Should be a client advisor for HealthRules Payor configurations or HealthRules Care Manager products.
• Ensure unique customer needs are properly translated into business terms and communicated across all applicable domains.
• Work closely with stakeholders (i.e. business unit personnel, business experts, other staff, vendors, and contractors) to understand and document project business and system requirements and workflows.
• Work directly with users and customers to identify needs and resolve software configuration problems.
• Manage time effectively, communicate status accurately to stakeholders including project managers.
• Develop infrastructure necessary to support quality and efficient configuration deliverables within the respective core claims platform using the right shore model / approach.
• Oversee Quality Assurance activities to confirm the configuration work performed by Global resources meets quality standards before delivery to the customer.
Occasional travel as required to support practice initiatives or customer requests.
Experience: -
· 15+ Years
Location: -
· Remote
Educational Qualifications: -
- Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.
· Technical certification in multiple technologies is desirable.