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Healthrules Payor Jobs (NOW HIRING)

Senior Software Engineer

$125K - $165K/yr

You will play a pivotal role in integrating our HealthRules software suite with client systems ... payor) domain preferred. • Agile development experience (SCRUM, Kanban) and ability to work ...

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Healthrules Payor information

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How much do healthrules payor jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for healthrules payor in the United States is $18.87, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.19 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?

AspectHealthrules PayorHealth Insurance Underwriter
Required CredentialsTypically requires a degree in health administration, business, or related field; certifications like CPCU or AHIP are commonRequires a degree in finance, economics, or actuarial science; professional certifications like ASA or FSA are often preferred
Work EnvironmentOffice-based, working with healthcare data, policy management, and payer systemsOffice-based, analyzing risk, reviewing policy applications, and calculating premiums
Employer & Industry UsageUsed by health insurance companies, healthcare payers, and managed care organizationsEmployed 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.

More about Healthrules Payor jobs

What cities are hiring for Healthrules Payor jobs?

Cities with the most Healthrules Payor job openings:

What states have the most Healthrules Payor jobs?

States with the most job openings for Healthrules Payor jobs include:

Infographic showing various Healthrules Payor job openings in the United States as of August 2026, with employment types broken down into 5% As Needed, 81% Full Time, 13% Part Time, and 1% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $39,247 per year, or $18.9 per hour.

$125K - $165K/yr

Full-time

Re-posted 5 days ago


Job description

Overview
Position Overview:
HealthEdge is seeking a Senior Software Engineer (Java) with a strong technical background, a passion for solving complex business problems, and a focus on delivering enterprise-grade solutions. As a senior member of the team, you will lead solution design, develop high-quality code, drive deployments, and mentor junior engineers. You will play a pivotal role in integrating our HealthRules software suite with client systems, optimizing workflows, and implementing AI-driven solutions where appropriate.
This role is highly technical and requires hands-on experience with Java/J2EE, integration frameworks, testing, deployment pipelines, and enterprise systems. You will also guide technical discussions, code reviews, and ensure high-quality delivery across the team.
About the Technology Team:
Our Technology Team is a dynamic group of innovators reshaping the future of healthcare technology. This team thrives on collaboration, bringing together top talent from diverse backgrounds to create scalable, secure, and cutting-edge platforms. With expertise in cloud infrastructure, AI, and user experience design, they enable transformation for healthcare health plan solutions. Beyond technical excellence, the HealthEdge Technology Team is passionate about empowering clients. They prioritize transparency, thoughtful resource allocation, and a commitment to seamless experiences. Guided by visionary leadership and a deep enthusiasm for innovation, this group is redefining what's possible in healthcare technology.
Your Impact:
• Design, develop, and deploy scalable, enterprise-grade Java applications, leveraging SOA, EAI, and microservices architectures.
• Lead solution architecture discussions, design whiteboarding, and technical planning sessions.
• Mentor junior engineers and lead peer code reviews, enforcing best practices for maintainable and high-quality software.
• Develop unit tests (JUnit, TestNG), integration tests, and automated deployment pipelines for production-ready code.
• Work with CI/CD tools (Jenkins, Maven, Git) to streamline builds, deployments, and testing automation.
• Handle complex data integration, migration, and transformation tasks, ensuring data consistency and reliability.
• Collaborate with cross-functional teams to ensure successful UAT, production deployments, and client issue resolution.
• Apply AI/ML techniques, automation, and intelligent algorithms to enhance business processes, predictive analytics, and workflow optimization where applicable.
• Lead the implementation of integration frameworks, web services, and messaging solutions (JMS, SOAP/REST, ESB technologies).
• Support ongoing production and non-production system maintenance, including database tuning, performance optimization, and troubleshooting.
What You Bring:
• BS/BA in Computer Science or related field; advanced degrees a plus.
• Minimum 7 years of professional experience in Java/J2EE development, system integration, and enterprise application design.
• Expertise in Core Java, XML, Web Services, JMS, SQL, Linux, Tomcat, Docker, Kubernetes, and Cloud technologies.
• Hands-on experience with unit testing frameworks (JUnit, TestNG), CI/CD pipelines (Jenkins), Git/Bitbucket, and Maven.
• Familiarity with integration middleware / ESB technologies (iWay, Apache Camel, Spring
Integration) and OSGi containers (Apache Karaf).
• Strong understanding of design patterns, enterprise integration patterns, and scalable software architectures.
• Experience leading technical design discussions, performing code reviews, and mentoring junior engineers.
• Prior experience in the healthcare or health insurance (payor) domain preferred.
• Agile development experience (SCRUM, Kanban) and ability to work across distributed teams.
• Strong analytical, problem-solving, and communication skills, with a focus on client-facing
engagements.
Bonus points:
• Exposure to AI/ML technologies or automation frameworks for enterprise software solutions.
• Experience with performance tuning of Java applications and database queries.
• Experience with Web Service testing tools (SOAPUI, Postman).
• Hands-on experience with cloud deployments (AWS, Azure) and containerized microservices.
HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.
Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US
*Note this role requires proof of US residency for the last consecutive 5 years*
Type of Employment: Full-time, permanent
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
  • The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work across multiple time zones in a hybrid or remote work environment.
  • Long periods of time sitting and/or standing in front of a computer using video technology.
  • May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
#LI-Remote
**The annual US base salary range for this position is $130,000 to $165,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.

HealthEdge logo

About HealthEdge

Sourced by ZipRecruiter

Health Edge ® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules ®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit .

Industry

Computer and computer peripheral equipment and software wholesalers

Company size

201 - 500 Employees

Headquarters location

Burlington, MA, US

Year founded

2005

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