Note: The job is a remote job and is open to candidates in USA. VBeyond Corporation is seeking a Configuration Analyst with expertise in healthcare payer business functions and IT systems. The role involves designing and configuring benefit components in the HealthRules Payer platform while collaborating with various stakeholders to gather requirements and support data migration activities.

Responsibilities

• Work closely with Business SMEs, Sales, internal teams, employer groups, and vendors for: Requirements gathering, Design & architecture discussions
• Responsible for design and configuration of Benefit components in HealthRules Payer
• Ability to extract and analyze benefit data using SQL
• Support data profiling and migration activities (legacy → HealthRules Payer)
• Design, develop, test, and document interfaces of moderate-to-high complexity
• Maintain documentation and version control
• Provide technical leadership and mentor team members
• Support testing and deployment of configurations in production environment
• Lead a team of Configuration Analysts (including production support)

Skills

• Healthcare Payer business functions and IT systems
• Strong experience in HealthRules Payer platform
• Hands-on experience with Products & Benefits, Claims Workflow
• Strong understanding of US Healthcare Payer streams: Claims, Network & Pricing, Provider Management, Medical Management, Premium Billing & Payment, Member Enrollment, Benefits Management
• Experience across Commercial, TPA, Self-Funded, and Blues business
• Experience with Core Administrative Processing Systems: HealthRules Payer (primary), Facets / QNXT (nice to have)
• HealthRules Payer Configuration: Benefit Plan setup, Product configuration, Benefits & Claims configuration
• Ability to extract and analyze benefit data using SQL
• Support data profiling and migration activities (legacy → HealthRules Payer)
• Design, develop, test, and document interfaces of moderate-to-high complexity
• Maintain documentation and version control
• Provide technical leadership and mentor team members
• Support testing and deployment of configurations in production environment
• Lead a team of Configuration Analysts (including production support)
• Experience with Core Administrative Processing Systems: Facets / QNXT (nice to have)

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