[Remote] HealthRules Consultant I
Note: The job is a remote job and is open to candidates in USA. UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The HealthRules Consultant I will support configuration activities, manage incidents, and validate offshore configuration activities while leading a team of business analysts to ensure effective solutions for customers.
Responsibilities
- Work with customers and develop process workflows
- Supporting the patch and updates to applications
- Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls
- Analyze business requirements, configure and unit test software (HealthRules Payor)
- Work independently to solve and test complex scenarios
- Analyze data and draw conclusions
- Demonstrate excellent communication skills
- Understand and execute automation tools
- Synthesize complex information
- Be flexible in work roles and hours
- To work independently with little or no supervision
- Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims)
- Must be ready to take on additional roles and responsibilities to drive towards becoming a Configuration Lead
- Assist other team members with complex issues related to their field of expertise
- Provide configuration training to internal team and customer
- Work in a team environment and share knowledge
Skills
- Minimum high school diploma required. Professional degree preferred
- Minimum 2 years' HealthRules Configuration Experience
- Experience working in an offshore model is required
- Microsoft Word, PowerPoint, Excel and Visio
- Experience with Agile tools and methodologies including JIRA and SCRUM
- Analytical Abilities
- Critical thinking
- Leadership ability
- Familiar with debugging and testing concepts
- Work with teams to quickly find and document root causes, and effectively communicate possible resolutions
- Communicate effectively across all levels within Technology, Business and Operations
- Approach problems as challenges and deal with them constructively while promoting this approach to the organization
- Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims)
- Excellent communication skills
- Critical thinking skills
- Analytical person who's able to grasp customer needs and works with the team lead to develop solutions as needed to support the customer
- Be flexible in work roles and hours
- To work independently with little or no supervision
- Assist other team members with complex issues related to their field of expertise
- Provide configuration training to internal team and customer
- Work in a team environment and share knowledge
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
- Eligible for paid bereavement leave
- Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
- Eligible for medical, dental, and vision insurance
- Basic life insurance
- Accidental death and disability insurance
- Short- and long-term disability benefits
- Purchase additional voluntary short-term disability benefits
- Participate in a Health Savings Account (HSA)
- Participate in a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
- Potential for quarterly incentive-based bonuses and or commissions depending on role
Company Overview
- UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST. It was founded in undefined, and is headquartered in Aliso Viejo, California, USA, with a workforce of 501-1000 employees. Its website is https://usthealthproof.com.
Company H1B Sponsorship
- UST HealthProof has a track record of offering H1B sponsorships, with 40 in 2025, 43 in 2024, 31 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role.
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