RELQ TECHNOLOGIES ยท 5 hours ago
Healthedge Business analyst
United States
Contract
Remote
Mid Level
3+ years exp
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Responsibilities
Configure and customize the HealthEdge HealthRules platform to support the operational needs of health insurance clients.
Translate business requirements into technical specifications, focusing on claims, benefits, member, provider, and billing modules.
Work closely with business stakeholders, solution architects, and technical teams to gather requirements, design solutions, and implement system configurations.
Conduct gap analysis between business needs and system capabilities, recommending solutions for optimal performance.
Manage and maintain configuration documentation, ensuring all changes and customizations are well-documented.
Perform impact analysis of new configurations or changes in the system.
Troubleshoot and resolve configuration issues, providing technical support as needed.
Collaborate with IT and business units to ensure HealthEdge HealthRules platform aligns with organizational goals and compliance requirements.
Ensure configurations comply with healthcare industry standards and regulatory requirements such as HIPAA.
Participate in user acceptance testing (UAT) to ensure configurations meet client expectations and business requirements.
Train users and provide post-implementation support to business and technical teams.
Qualification
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Required
Bachelor's degree in Computer Science, Information Systems, Healthcare Administration, or a related field.
3+ years of experience in configuring HealthEdge HealthRules or similar healthcare payer platforms.
Strong understanding of healthcare industry processes, especially in claims, benefits, provider, and billing modules.
Expertise in healthcare standards and regulatory requirements (HIPAA, ICD, CPT, ANSI X12).
Proficient in SQL and experience with relational databases (e.g., Oracle, MS SQL).
Experience with Agile and Waterfall development methodologies.
Ability to interpret complex business requirements and translate them into technical specifications.
Strong troubleshooting skills and the ability to handle multiple tasks in a fast-paced environment.
Excellent communication and collaboration skills, with the ability to work effectively in cross-functional teams.
Preferred
Certification or specialized training in HealthEdge HealthRules.
Experience working with Medicare, Medicaid, and commercial healthcare plans.
Knowledge of HealthRules integration with third-party applications (e.g., claims systems, data warehouses).
Familiarity with automation tools and testing frameworks (e.g., Selenium, Postman).
Experience with business process re-engineering or process improvement.
Company
RELQ TECHNOLOGIES
We take pride in our dedicated team of technical IT professionals, who consistently provide a comprehensive range of software development and technology services across various domains, ensuring both reliability and high-quality outcomes.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase
