HealthRules experience. Excel Skills Excel is a big part of this role. Candidates should be comfortable with: * VLOOKUPs * Pivot Tables * Formulas There will be an Excel assessment during the ...
HealthRules experience. Excel Skills Excel is a big part of this role. Candidates should be comfortable with: * VLOOKUPs * Pivot Tables * Formulas There will be an Excel assessment during the ...
With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ...
With HealthRules Payer, our integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ...
Claims Business Analyst
Buffalo, NY · Remote
$80K - $100K/yr
Familiarity with Centivo's claims systems (Javelina and HealthRules Payer) is preferred. You will coordinate with all business units and external vendors during client implementations and conversions ...
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Claims Business Analyst
Buffalo, NY · Remote
$80K - $100K/yr
Familiarity with Centivo's claims systems (Javelina and HealthRules Payer) is preferred. You will coordinate with all business units and external vendors during client implementations and conversions ...
Overview Position Overview HealthEdge is seeking an experienced Product Manager to lead the strategy and delivery of the new HealthRules Payer (HRP) WebUI - the modern web-based interface replacing ...
Overview Position Overview HealthEdge is seeking an experienced Product Manager to lead the strategy and delivery of the new HealthRules Payer (HRP) WebUI - the modern web-based interface replacing ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Placement & Utilization Support Coordinator
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Software Development Engineer in Test (SDET)
$96K - $103K/yr
Using the patented HealthRules software suite, health plans, health insurance companies, and other payers can finally respond to new business opportunities and market changes in hours, not months or ...
Software Development Engineer in Test (SDET)
$96K - $103K/yr
Using the patented HealthRules software suite, health plans, health insurance companies, and other payers can finally respond to new business opportunities and market changes in hours, not months or ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor inaccordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
Manhattan, NY · On-site
$35K - $43K/yr
... HealthRules Health Rules Payor inaccordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Enrollment Coordinator- Bilingual Chinese
$35K - $43K/yr
... HealthRules Health Rules Payor in accordance to department guildelines. -Completes enrollment acceptance or deferral calls according to specified deadlines and ensures to document accordingly in MP ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Placement & Utilization Support Coordinator
Manhattan, NY · On-site
$41K - $45K/yr
Knowledge of HealthRules Payor, Word and Excel * Type an average of 55 wpm * Good customer service skills * Ability to work closely with different professionals as part of a interdisciplinary health ...
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
Minnetonka, MN · On-site
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
Minnetonka, MN · On-site
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP) * Support Director, Claims Operations and Configuration with daily ...
Provide Subject Matter Expertise throughout the implementation of the new claims system, HealthEdge Healthrules Payor (HRP) * Support Director, Claims Operations and Configuration with daily ...
Quality Business Analyst
Philadelphia, PA · On-site
... HealthRules Payor (HRP), PRIME, Virtual Appeals Manager (VAM), Tableau, and ServiceNow (SNOW). Ability to effectively work autonomously in a hybrid environmen IBX is an Equal Opportunity Employer.
Quality Business Analyst
Philadelphia, PA · On-site
... HealthRules Payor (HRP), PRIME, Virtual Appeals Manager (VAM), Tableau, and ServiceNow (SNOW). Ability to effectively work autonomously in a hybrid environmen IBX is an Equal Opportunity Employer.
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Sales Account Installation Specialist II
$56K - $97K/yr
Experience with COSMOS and / or HealthRules is preferred * Experience working with both fully insured and self-insured health plans * Excellent customer service skills * Problem-solving * Multi ...
Healthrules information
See salary details
$14.66 - $16.06
1% of jobs
$16.06 - $17.46
6% of jobs
$17.46 - $18.86
10% of jobs
$19.49 is the 25th percentile. Wages below this are outliers.
$18.86 - $20.26
17% of jobs
$20.26 - $21.66
15% of jobs
The median wage is $21.71 / hr.
$21.66 - $23.06
15% of jobs
$24.19 is the 75th percentile. Wages above this are outliers.
$23.06 - $24.45
13% of jobs
$24.45 - $25.85
9% of jobs
$25.85 - $27.25
5% of jobs
$27.25 - $28.65
5% of jobs
$28.65 - $30.05
3% of jobs
$14
$22
$30
How much do healthrules jobs pay per hour?
What is a HealthRules?
A HealthRules job typically refers to a role involving HealthRules software, which is a healthcare claims and benefits administration platform developed by HealthEdge. Professionals in these roles work with configuring, managing, or supporting the HealthRules Payor system for health insurance companies. Responsibilities may include claims processing, system implementation, troubleshooting, and optimizing workflows. These jobs are common in healthcare IT, insurance, and managed care organizations.
What are the key skills and qualifications needed to thrive in the HealthRules position, and why are they important?
To thrive as a HealthRules Configuration Analyst, you need strong analytical skills, attention to detail, and a solid understanding of healthcare business processes, typically supported by experience with claims and benefits administration. Proficiency in configuring and maintaining HealthRules Payor, a leading healthcare claims management system, is essential, and familiarity with SQL and data analytics tools is highly valued. Excellent problem-solving capabilities, teamwork, and communication skills help you collaborate effectively with IT teams and business stakeholders. These skills are crucial for ensuring accurate system configuration, efficient claims processing, and adherence to regulatory requirements in healthcare organizations.
What are some typical challenges faced by HealthRules Configuration Analysts in their daily work?
HealthRules Configuration Analysts often navigate the complexities of interpreting dynamic healthcare policies and translating them into accurate system configurations. They may encounter challenges such as resolving discrepancies between business requirements and system capabilities, adapting to changing regulations, and troubleshooting unexpected processing issues. Collaboration is key, as analysts work closely with business users, developers, and QA teams to ensure seamless claim processing. Successfully overcoming these challenges requires a deep understanding of both the HealthRules platform and the healthcare industry, as well as strong communication and problem-solving skills.
What states have the most Healthrules jobs?
States with the most job openings for Healthrules jobs include:
What job categories do people searching Healthrules jobs look for?
The top searched job categories for Healthrules jobs are:

Workstream Lead - Benefits | Philadelphia PA 19103
Philadelphia, PA • On-site
Other
Posted 13 days ago
Job description
Duration: 6-month contract with potential to convert
Location: Philadelphia PA 19103 Hybrid (onsite Tuesday, Wednesday, Thursday)
40 hours/week | Typical start time around 8:00 AM
What They''re Looking For
This team is supporting the transition of TPA clients and helping move them through new benefits and medical policy configurations. They''ll be working through client renewals one at a time while coordinating closely with an offshore team.
A large consulting firm is currently leading the work but will roll off on October 9, so these consultants will partner with them beforehand for knowledge transfer to ensure a smooth transition.
Day-to-Day
- Coordinate work with offshore teams.
- Manage project timelines and workstreams.
- Identify items that need development/coding.
- Coordinate and support testing efforts.
- Keep projects moving and communicate updates with stakeholders and executive leadership.
Two Focus Areas
There are two similar roles:
- Workstream Lead: More focused on project management, coordination, and driving the work across teams.
- Policy Enablement: More hands-on with policy configurations and client-specific customizations.
- 5+ years of experience.
- Healthcare industry experience.
- Benefits experience is highly preferred.
- Project management experience.
- Experience working with offshore teams.
- Strong communication skills, including working with executive leadership.
Nice to Have
- HealthRules experience.
Excel is a big part of this role. Candidates should be comfortable with:
- VLOOKUPs
- Pivot Tables
- Formulas
Please apply with your interest. You may also reach out to me at
Thank you,
Ashu
About Alpha Business Solutions
Sourced by ZipRecruiter
Industry
Human resources consulting services
Company size
1 - 10 Employees
Headquarters location
Bradenton, FL, US
Year founded
2005