In this role, you'll deliver multi-week, virtual instructor-led training sessions focused primarily on claims and enrollment processes within our HealthRules Payer system. You'll partner with ...
In this role, you'll deliver multi-week, virtual instructor-led training sessions focused primarily on claims and enrollment processes within our HealthRules Payer system. You'll partner with ...
Hands-on experience with HealthEdge (HealthRules Payor - HRP) . * Advanced proficiency in SQL for data validation and analysis. * Selenium for automation * Python Scripting for automation quality
Hands-on experience with HealthEdge (HealthRules Payor - HRP) . * Advanced proficiency in SQL for data validation and analysis. * Selenium for automation * Python Scripting for automation quality
Define and maintain the comprehensive AI product strategy for HealthRules Payer, aligned with corporate AI vision and market direction * Build and prioritize the HRP AI roadmap across value streams:
Define and maintain the comprehensive AI product strategy for HealthRules Payer, aligned with corporate AI vision and market direction * Build and prioritize the HRP AI roadmap across value streams:
Senior Healthcare Business Analyst / Behavioral Health SME
Minneapolis, MN · On-site
$96K - $124K/yr
... HealthRules, GuidingCare, TruCare, or similar platforms. • Analyze healthcare transactions and interoperability standards including 837, 835, 834, 270/271, HL7, and FHIR. • Perform SQL-based ...
Senior Healthcare Business Analyst / Behavioral Health SME
Minneapolis, MN · On-site
$96K - $124K/yr
... HealthRules, GuidingCare, TruCare, or similar platforms. • Analyze healthcare transactions and interoperability standards including 837, 835, 834, 270/271, HL7, and FHIR. • Perform SQL-based ...
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
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 ...
Business Systems Analyst, Enrollment & Member/Provider Services
Manhattan, NY · Hybrid
$60 - $85/hr
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 ...
Quick apply
Business Systems Analyst, Enrollment & Member/Provider Services
Manhattan, NY · Hybrid
$60 - $85/hr
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 ...
Experience with Facets, QNXT, HealthRules, or similar payer platforms. * Experience in AI-led healthcare transformation projects. * Exposure to automation tools, analytics platforms, or process ...
Experience with Facets, QNXT, HealthRules, or similar payer platforms. * Experience in AI-led healthcare transformation projects. * Exposure to automation tools, analytics platforms, or process ...
Strong familiarity with Core Admin platforms (HealthRules Payer, Facets, QNXT, QicLink, Javelina, or equivalent). * Strong sales-facing skills: whiteboarding, pursuit support, and executive ...
Strong familiarity with Core Admin platforms (HealthRules Payer, Facets, QNXT, QicLink, Javelina, or equivalent). * Strong sales-facing skills: whiteboarding, pursuit support, and executive ...
Strong familiarity with Core Admin platforms (HealthRules Payer, Facets, QNXT, QicLink, Javelina, or equivalent). * Strong sales-facing skills: whiteboarding, pursuit support, and executive ...
Strong familiarity with Core Admin platforms (HealthRules Payer, Facets, QNXT, QicLink, Javelina, or equivalent). * Strong sales-facing skills: whiteboarding, pursuit support, and executive ...
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
HealthRules Payer powers some of the most complex payer operations in the country - handling claims processing, benefit configuration, provider management and payment integrity at enterprise scale.
HealthRules Payer powers some of the most complex payer operations in the country - handling claims processing, benefit configuration, provider management and payment integrity at enterprise scale.
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 ...
Quick apply
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 ...
Claims Business Analyst
Buffalo, NY · On-site
$100 - $125/hr
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 ...
Claims Business Analyst
Buffalo, NY · On-site
$100 - $125/hr
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 ...
Senior LoadRunner & UI Automation Consultant :: Healthcare Claims | TriZetto to HealthEdge Migration
Manhattan, NY · On-site
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
Senior LoadRunner & UI Automation Consultant :: Healthcare Claims | TriZetto to HealthEdge Migration
Manhattan, NY · On-site
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
New
Hands-on experience with TriZetto Facets/QNXT and HealthEdge HealthRules Payor. Technical Skills * Strong experience with LoadRunner (script development, test execution, analysis, and reporting)
New
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 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 ...
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:

Training Facilitator
Remote
Full-time
Posted 20 days ago
Job description
Overview:
HealthEdge offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.
HealthEdge is looking for a dynamic call center trainer to join our company and contribute to our phenomenal growth. In this role, you'll be responsible for scheduling and conducting training sessions for both new and experienced call center agents, and supporting employees to maintain the productivity and quality of our customer service operations. To ensure success as a call center trainer, you should have excellent knowledge of call center procedures and expertise in quality assurance. You will be a friendly, approachable individual with effective teaching and communication skills. You will bring your experience in training call center agents to effectively resolve inquiries from members and providers of our health plan customers.
Training Facilitator
HealthEdge is looking for a dynamic Training Facilitator to join our company and contribute to our phenomenal growth. In this role, you'll deliver multi-week, virtual instructor-led training sessions focused primarily on claims and enrollment processes within our HealthRules Payer system. You'll partner with instructional designers and technical writers to build learning materials, track and report trainee progress to leadership, and collaborate cross-functionally to identify training needs. To ensure success as a Training Facilitator, you should have excellent knowledge of claims and enrollment procedures, hands-on experience with HealthRules Payer, and a passion for leveraging modern and AI-powered learning tools to create engaging, personalized learning experiences.
Duties/Responsibilities:
- Delivering multi-week, virtual instructor-led training sessions primarily covering claims and enrollment functions within HealthRules Payer.
- Partnering with instructional designers and technical writers to develop learning materials, including e-learnings, PowerPoint presentations, job aids, and other reference material.
- Tracking, monitoring, and reporting on trainee progress at a daily cadence, providing regular updates to leadership.
- Working cross-functionally with relevant business users and stakeholders to identify training needs and skill gaps.
- Leveraging AI-powered learning tools, platforms, and content to personalize learning experiences and drive adoption.
- Curating and creating modern learning content, including microlearning, blended learning, and self-guided modules.
- Liaising with team leaders and managers to conduct on-the-job coaching.
- Measuring the effectiveness of training sessions and preparing individual or team progress reports.
Required Skills/Abilities
- A bachelor's degree and additional certification in business leadership, eLearning software, or adult education and training is preferred.
- At least 4 years' experience working as a training facilitator, trainer, or team leader in a health plan operations environment (claims, enrollment, or benefits administration).
- Hands-on experience with HealthRules Payer.
- Advanced knowledge of claims adjudication and enrollment processing best practices.
- Strong virtual facilitation abilities, communication and mentoring skills.
- Ability to work cross-functionally with business stakeholders to identify and address training needs.
- Ability to work remotely and independently.
Nice to Have
- Experience delivering virtual instructor-led training (VILT) in a multi-week program format.
- Familiarity with learning management systems and AI-powered learning platforms/tools.
- Familiarity with learning experience platforms, learning management systems, or content curation tools.
- Experience using Claude or similar AI tools to develop, refine, or personalize learning content and delivery.
Geographic Responsibility: Remote, US
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 $69,000 to $79,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.
Employment Type: FULL_TIMEAbout 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