Healthrules Configuration Analyst

HealthRules Configuration Analyst

Lead II - Business Analysis

Who we are:

UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.

We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.

You Are:

UST HealthProof is looking for an experienced HealthRules configuration Analyst with experience in this platform. The ideal candidate should be an expert in leading Healthcare projects in the HealthRules configuration. Candidate should have good experience in defining the overall technical architecture for enterprise and customer HealthRules platforms. A good understanding of the Healthcare domain is expected. Excellent written and verbal communication skills.

The Opportunity :

• Use analytical skills and judgment to identify, prioritize, structure, and solve complex problems
• Work closely with customers to understand and define enterprise goals and objectives
• Immensely contribute to the sprint planning and estimation by highlighting dependencies, constraints, and impact from a business standpoint
• Be the face of the team to the customer and act as an SME for all of the business and strategic needs
• Understand and use BA knowledge areas appropriately as required by the business problem
• Analyse business needs and solutions, Devise strategies, and Facilitate stakeholder collaboration effectively and efficiently
• Validate and verify information to identify solution options that meet business needs
• Align the designed and delivered solutions with stakeholder needs
• Establish and implement effective requirement creation and management practices,
• Champion requirements Elicitation using proven techniques like interviews, document analysis, requirements workshops, storyboards, surveys, site visits, business process descriptions, use cases, scenarios, event lists, competitive product analysis, task and workflow analysis, and/or viewpoints
• Define the solution approach, identify business improvement opportunities, allocate requirements across solution components, and develop design options that achieve the desired future state
• Define software quality attributes, external interfaces, constraints, and other non-functional requirements
• Monitor the market for technologies/processes to manage business analysis Information
• Develop training materials and “tips” that stakeholders can leverage to improve their efficiency in using business analysis tools.
• Work with large or multiple teams that span functions, issues, locations, and time zones to coordinate roles, responsibilities, and interdependencies of all team members
• Develop a network of Subject Matter Experts (SMEs) inside and outside of the organization
• Develop an innovative approach for using new tools, templates, and processes
• Develop engagement strategies to support organizational transformation
Be able to assist in driving transformational program(s) for the organization/customer’s enterprise

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:

• Must have excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively
• Should be able to synthesize complex information
• Must be able to gather requirements from the customer and solution based on the requirements provided
• Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims)
• Should be flexible in work roles and hours
• Team player
• Must be able to travel
• Must have some experience working with customers
• Analytical abilities
• Must have HealthRules Experience (2 + years)
• Must be good with customers
Previous consulting experience

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by local law, UST Healthproof provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York or Washington as set forth below.

Role Location: Remote

Compensation Range: $78,000-$118,000

Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits.

What we believe :

We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.

Humility:

We will listen, learn, be empathetic and help selflessly in our interactions with everyone.

Humanity:

Through business, we will better the lives of those less fortunate than ourselves.

Integrity:

We honor our commitments and act with responsibility in all our relationships.

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, or status as a protected veteran.

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

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