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Healthrules Jobs (NOW HIRING)

HealthEdge

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 ...

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How much do healthrules jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for healthrules in the United States is $22.41, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $24.76 per hour, depending on experience, location, and employer.

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.

More about Healthrules jobs

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:

Healthrules jobs near you
Infographic showing various Healthrules job openings in the United States as of September 2026, with employment types broken down into 94% Full Time, 1% Part Time, and 5% Contract. Highlights an 58% Physical, 5% Hybrid, and 37% Remote job distribution, with an average salary of $46,613 per year, or $22.4 per hour.

Enrollment Coordinator- Bilingual Chinese

Manhattan, NY • On-site

Metropolitan Jewish Health System
Hospitals • 1 - 5K employees
Learn more about Metropolitan Jewish Health Systemexternal

$35K - $43K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

MJHS Health System rating

7.9

Company rating: 7.9 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

Job description

Overview
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
The MJHS Difference
At MJHS, we are more than a workplace; we are a supportive community committed to excellence, respect, and providing high-quality, personalized health care services. We foster collaboration, celebrate achievements, and promote fairness for all. Our contributions are recognized with comprehensive compensation and benefits, career development, and the opportunity for a healthy work-life balance, advancement within our organization and the fulfillment of having a lasting impact on the communities we serve.
Benefits include:
  • Tuition Reimbursement for all full and part-time staff
  • Generous paid time off, including your birthday!
  • Affordable and comprehensive medical, dental and vision coverage for employee and family members
  • Two retirement plans! 403(b) AND Employer Paid Pension
  • Flexible spending
  • And MORE!

MJHS companies are qualified employers under the Federal Government's Paid Student Loan Forgiveness Program (PSLF)
Responsibilities
-Enters enrollee data and clinical information into Market Prominence (MP) and ensures the
completeness and accuracy of the demographic information to successfully manage and report outcomes to leadership and to governing bodies.
-Functions in tandem with teammates to ensure all NTUCs are closed promptly upon receiving formal NTUC note.
-Accurately enters request for service authorizations into 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.
-Provides exceptional customer service during phone calls received and outgoing on the ACD line.
Qualifications
  • High School diploma
  • Bachelor's degree preferred
  • With Bachelor's degree; minimum of one year of experience in Managed Care, provider billing, and/or customer service.
  • Without Bachelor's degree, minimum of three (3) years of experience, as above
  • Knowledge of Microsoft Office

Min
USD $35,041.49/Yr.
Max
USD $43,801.86/Yr.

What MJHS Health System employees say

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