HealthRules Configuration Analyst (Claims) Constultant

posted on January 8, 2021

Job Description

Location: Phoenix, AZ

Duration: 12 months

Responsibilities: 

  • 100% Remote
  • Five years of configuration experience or a combination of claims processing, healthcare system operations, data analytics and configuration
  • Must possess working knowledge of managed care operations, system development and testing
  • Microsoft Office proficiency
  • Develop and maintain an understanding of current Client HealthRules Payor and Amisys configuration, contracts, products and policies
  • Analyze, configure, test, implement and maintain HealthRules Payor and Amisys to support changes in contracts, products, legislation, and Client policies and procedures, ensuring timely maintenance and updates of configuration
  • Test, implement and train on new HealthRules Payor and third party product releases, modules and updates
  • Assist in the development of test scenarios for changes and/or projects. Manage the timely resolution of open testing bugs and issues. Develop and monitor post-production audit reports to ensure the intent of change and/or project requirements is being met
  • Develop and maintain configuration documentation and communicate changes, as appropriate
  • Work with Technical Business Analyst, UAT and QA to create detailed functional requirements that support and align to business requirements and testing scenarios
  • Research and respond to service requests in a prompt and timely manner and update or build configuration in HealthRules Payor and Amisys, as needed
  • Recommend and draft new and updated procedures to maximize the use of HealthRules Payor, Amisys and other third-party products to improve efficiency
  • Develop and maintain good working relationships with the staff of other departments including Provider Relations & Contracting, Healthcare Economics, Provider Assistance Center, Government Relations, Product, and Coverage Policy
  • Inform leader and peers of changes that will impact Client.  Research and recommend methods to improve or implement necessary changes in a prompt and efficient manner
  • Other projects and duties as assigned

 

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