HealthRules Configuration

HealthRules Configuration Sacramento, CA Job description: Primary Responsibilities Lead HealthRules configuration activities for commercial group products, including: Benefits configuration Pricing and accumulator logic Provider contracts Claims processing rules Triage, prioritize, and manage the configuration backlog, including: Production defects Enhancement requests Annual readiness and renewal activities Act as the primary intake point for configuration work from business owners and operations teams Coordinate configuration handoffs and testing support with the offshore QA team Provide technical guidance, oversight, and configuration code review for configuration analysts Ensure configuration aligns with approved business requirements and testing standards Deliver weekly status reporting to Client Support operational stability Operate in a ~20% supervisory / lead capacity, with the remainder in handson configuration and analysis Required Skills & Experience 7+ years of handson HealthRules Payer configuration experience 3+ years supporting commercial group health plan configuration, including: Deductibles Outofpocket maximums Accumulators Tiered benefit designs Expertlevel proficiency with: HealthRules Designer HealthRules Manager HealthRules Language (HRL) Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects Strong understanding of endtoend claims processing and benefits configuration Strong communication skills with ability to: Partner with business stakeholders Explain technical configuration decisions clearly