7+ years hands-on HealthRules Payer configuration experience
3+ years commercial group health plan configuration (deductibles, out-of-pocket max, accumulator logic, tiered benefits)
Expert-level proficiency with HealthRules Designer, HealthRules Manager, and HealthRules Language
Demonstrated experience leading configuration teams or acting as technical lead on HealthRules projects
Requirements:
Lead HealthRules configuration support for commercial group products (benefits, pricing, provider contracts, claims rules)
Triage and prioritize backlog of defects, enhancement requests, and annual readiness activities
Coordinate work intake with internal business owners and handoffs to offshore QA team
Provide technical supervision and code review for configuration analysts
Job description
Description:
Impresiv Health is seeking a senior HealthRules Payer Configuration Lead to support commercial group products, including benefits, pricing, provider contracts, and claims rules. This role will oversee configuration activities, manage backlog prioritization, coordinate with business stakeholders and QA teams, and provide technical leadership and weekly reporting (20% supervisory).
What You Will Do:
Lead HealthRules configuration support for commercial group products (benefits, pricing, provider contracts, claims rules)
Triage and prioritize backlog of defects, enhancement requests, and annual readiness activities
Coordinate work intake with internal business owners and handoffs to offshore QA team
Provide technical supervision and code review for configuration analysts
Deliver weekly status reporting to operations leadership (20% supervisory capacity)
What You Will Bring:
7+ years hands-on HealthRules Payer configuration experience
3+ years commercial group health plan configuration (deductibles, out-of-pocket max, accumulator logic, tiered benefits)
Expert-level proficiency with HealthRules Designer, HealthRules Manager, and HealthRules Language
Demonstrated experience leading configuration teams or acting as technical lead on HealthRules projects
Strong communication skills for business stakeholder engagement
Experience with provider network configuration and pricing schedules preferred
Prior staff augmentation or managed services delivery model experience preferred
About Impresiv Health: Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services. We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.
Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do – provide tangible results that add immediate value, at a rate that cannot be beaten. Your success matters, and we know it.
