HealthRules Configuration Lead

HealthRules Configuration Lead Remote in Sacramento, CA, US • Posted 1 day ago • Updated 15 minutes ago Contract Corp To Corp On-site $70/hr Fitment Dice Job Match Score™ ⏳ Almost there, hang tight... Job Details Skills HealthRules Payer configuration HLR HealthRules Designer Summary Job description: Primary Responsibilities Lead HealthRules configuration activities for commercial group products, including: o Benefits configuration o Pricing and accumulator logic o Provider contracts o Claims processing rules Triage, prioritize, and manage the configuration backlog, including: o Production defects o Enhancement requests o 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 hands-on configuration and analysis Required Skills & Experience 7+ years of hands-on HealthRules Payer configuration experience 3+ years supporting commercial group health plan configuration, including: o Deductibles o Out-of-pocket maximums o Accumulators o Tiered benefit designs Expert-level proficiency with: o HealthRules Designer o HealthRules Manager o HealthRules Language (HRL) Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects Strong understanding of end-to-end claims processing and benefits configuration Strong communication skills with ability to: o Partner with business stakeholders o Explain technical configuration decisions clearly Preferred Qualifications Experience with provider network configuration and pricing schedules Prior experience working in a staff augmentation or managed services delivery model Experience supporting annual benefit renewals and readiness cycles Experience working with offshore QA or testing teams Employers have access to artificial intelligence language tools ("AI") that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id:

91128156

Position Id:

2026-3333 Posted 1 day ago