Job Description Job Description:

Insight Global is seeking an HRP Application Development Manager for a top healthcare payer client. This is a long-term consulting opportunity for a hands-on HealthRules Payer subject matter expert who can step into a complex environment and provide both technical and people leadership. The ideal candidate will bring deep experience with HRP configuration, core claims, member data, healthcare payer operations, QA/testing, and systems analysis, with the ability to identify and correct configuration or code issues affecting claims adjudication. This individual should have prior management or team leadership experience and a track record of taking ownership of complex application environments, ideally including the turnaround or remediation of a challenging HRP implementation. Strong communication and stakeholder management skills are critical, as this position will serve as a bridge between technical teams and senior business leadership. The consultant will play a key role in stabilizing and maturing the HRP environment through the organization's planned transition to the Epic payer platform.

Day-to-Day:

• Take ownership of the HealthRules Payer (HRP) environment and drive resolution of open issues stemming from the original implementation.
• Diagnose and remediate HRP configuration issues impacting claims adjudication, member/PCP assignments, and in-network/out-of-network processing.
• Establish stronger intake, QA, testing, and operational frameworks to improve platform stability and prevent recurring issues.
• Lead a six-person team of analysts and a Scrum Master, delegating work effectively and creating accountability for issues through resolution.
• Shift the team from transactional support to proactive ownership of the payer application portfolio.
• Partner with senior stakeholders, including CRO-level leadership and VPs of Claims and Contracting, to understand business challenges and drive technical solutions.
• Provide oversight across payer applications, integration/interoperability, and digital platforms while keeping HRP stable through the planned January 2028 transition to the Epic payer platform.

Skills and Requirements Must-Haves:

• Management/team leadership experience, ideally 5+ years across team lead and manager roles
• Subject matter expert in HealthRules Payer (HRP) by HealthEdge
• Strong hands-on HRP configuration experience
• Experience troubleshooting and stabilizing problematic HRP implementations, ideally a prior turnaround/remediation of a bad HRP install
• Deep experience with core claims and member information within the payer platform
• Strong QA, testing, systems analysis, and configuration validation background

Plusses:

• Experience integrating or transitioning HealthRules Payer to Epic's payer platform
• Previous experience taking over and successfully stabilizing a poorly implemented HRP environment We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.