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HealthRules Configuration and Implementation Manager

Key Facts

Remote From: 
Full time
Mid-level (2-5 years)
English

Other Skills

  • Distributed Team Management
  • Microsoft Excel
  • Microsoft PowerPoint
  • Microsoft Word
  • Professional Communication
  • Collaboration
  • Adaptability
  • Leadership
  • Social Skills
  • Analytical Thinking
  • Detail Oriented
  • Constructive Feedback
  • Mentorship
  • Verbal Communication Skills
  • Willingness To Learn
  • Problem Solving

Roles & Responsibilities

  • 4+ years of experience with HealthRules Payor or a claims processing system
  • Experience implementing one or more lines of business (Medicare, Medicaid, Commercial, Self-funded, etc.)
  • Experience working in an offshore delivery model
  • Bachelor's degree or professional degree preferred

Requirements:

  • Lead and mentor a geographically distributed configuration team to deliver a fully configured HealthRules Payor system on time and with high quality
  • Oversee configuration analysts to ensure implementations align with company standards and meet project milestones and objectives
  • Act as a Subject Matter Expert to advise clients on business problems and guide client-facing implementations, including risk identification and mitigation strategies
  • Collaborate with cross-functional teams to ensure seamless project execution and support continuous professional development of team members

Job description

Role Description

Manager of Configuration and Implementation

Consultant II

Who We Are

UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. Our BPaaS solutions manage complex admin tasks, allowing our customers to prioritize members’ well-being. With our commitment to simplicity, honesty, and leadership, we navigate challenges with our customers to achieve affordable health care for all.

We have a strong global presence and a dedicated workforce of over 4000 people spread across the world.

Our brand is built on the strong foundation of simplicity, integrity, people-centricity, and leadership. We stay inspired in our goal to unburden healthcare and ensure it reaches all, equitably and effectively.

You Are

UST HealthProof is searching for a highly motivated and experienced Manager of Configuration – Implementation to join our growing team. In this leadership role, you will oversee a team of configuration analysts—both onshore and offshore—to ensure the successful delivery of a fully configured HealthRules system. You will be responsible for aligning implementation efforts with company standards and ensuring all project milestones and goals are met.

The Opportunity

  • Play a leadership role to support and drive active implementation initiative, which will be client facing as well as working with other areas in the organization.
  • Play a key role in advising clients on their business problems as a Subject Matter Expert (SME).
  • Responsible for ensuring implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed.
  • Collaborate with cross-functional teams to support seamless project execution.
  • Lead and mentor a geographically distributed team (onshore and offshore), providing guidance, support, and resolution of complex issues to ensure high-quality deliverables and continuous professional development

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need

  • Minimum high school diploma required. Professional degree preferred.

Must have 4+ years of experience/knowledge of HealthRules Payor, a claims processing

system

Must have experience in implementing one or more line of business – Medicare, Medicaid, and/or Commercial, Self-funded etc.

  • Experience working in an offshore model is required

Skills & Competencies

  • Demonstrate strong analytical and problem-solving skills to identify root causes and implement effective solutions
  • Demonstrate eagerness to learn and the ability to adapt quickly in a dynamic, fast-paced environment
  • Excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively

Detail oriented

  • Good communication skills
  • Self-starter

Microsoft Word, PowerPoint, Excel and Visio

  • Experience with Agile tools and methodologies including JIRA and SCRUM
  • Excellent People skills – ability to provide feedback in a positive environment

For This Role, We Value

  • The ability to adapt quickly to a fast-paced environment
  • Excellent written and oral communication skills
  • Ability to collaborate with Customers teams and represent UST

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST HealthProof provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Remote

Compensation Range: $110,000-$130,000

Benefits

Full-time, regular employees accrue up to 16 days of paid vacation per year, receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company-paid benefits: basic life insurance, accidental death and disability insurance, and short- and long-term disability benefits. Regular employees may purchase additional voluntary short-term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses. Certain regular employees may have the potential for quarterly incentive-based bonuses and or commissions depending on role. Benefits offerings vary in Puerto Rico.

Part-time employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.

Full-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.

Part-time temporary employees receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year).

All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.

What We Believe

At UST HealthProof, we envision a bold future for American healthcare. Our values are the bedrock beliefs our organization holds dear. They not only define what our brand stands for but also serve as a compass guiding every action and decision.

Guiding Principles

These principles illuminate the path of ‘how’ we operate. They detail actions and behaviors we much embody to honor our values and achieve our goals.

  • Simplicity

Simplifying complexity underlines everything we do—this approach is what makes us unique. We come with an open mind and straightforward approach, cutting our way to the core with measurable and actionable insights.

  • Integrity

Integrity is our currency to build relationships. We believe in being open and honest. It is only natural when we have nothing to hide. It demonstrates that we are here to do the right thing, no matter who is watching.

  • People-Centricity

Everything that we do reflects our deep bonds with peers and customers. These aren't mere transactions, but transformational ties. They shape our culture and decisions, affirming that our true value lies in the lives we touch and impact.

  • Leadership

Taking ownership is about taking initiative, being in-charge and driving things to completion. It’s a brave choice to ‘own’ all aspects of our work, ensuring we take full responsibility for everything we handle.

Mission

A future possible only when health plans are free from administrative burdens so they can truly focus on what matters more – their members’ well-being.

Equal Employment Opportunity Statement

UST HealthProof is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#Healthproof

#CB

Skills

Implementation,Sme,Agile Methodologies

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