Claims Configuration Analyst

Job Summary :

We are seeking a highly skilled and experienced Configuration Analyst to join our team. The ideal candidate will have extensive knowledge of Healthcare Payer operations and a strong experience in developing and delivering configuration on Claims platforms like Core Admin platforms. This role is essential for ensuring that our staff are well-trained and knowledgeable about industry standards, processes, and best practices.

• Minimum Required Skills and Qualifications:
• Minimum of 3+ years of experience in Configuration on either HealthRules Payer or Facets or QNXT is required (US Health insurance).
• Proven experience with configuration for Medicare, Medicaid, Commercial, and Individual-Exchange lines of business.
• Experience with HealthEdge HealthRules Payer (HRP) configuration would be preferred
• Experience with HealthEdge Source (Burgess) o...