Curative · 1 month ago
Configuration Analyst
Curative is reimagining health insurance by creating a better healthcare experience for members with zero-cost in-network care. They are seeking a HealthRules Payer Configuration Analyst to support healthcare options by configuring contracts and resolving issues within the HealthRules Payer system.
Health CareHealth DiagnosticsHealth InsuranceMedicalMedical DevicePersonal Health
Responsibilities
Configure complex professional and facility contracts within the HealthRules Payer system
Configure and maintain HRP configuration for claims, pricing, and benefits
Investigate and resolve configuration issues on the HealthRules Payer system to ensure timely and accurate claims payment and account implementation
Maintain clear and accurate documentation of all configuration activities and decisions
Prepare and execute test cases to validate that configuration changes function as expected
Review and resolve claim pends on a daily basis to ensure claims are processed timely
A team player; perform tasks in a very fast paced environment
Work on claims team projects and reporting, as assigned
Attend departmental training when required or requested
Adhere to the rules and regulations of Curative as described in the Employee Handbook and as defined in the unit/department/clinic procedures
Qualification
Required
3+ years of health plan configuration experience within the HealthRules Payer platform; experience with provider contract configuration using HRL (Health Rules Language)
5+ years of experience in claims processing of all claim types, including hospital/facility, behavioral health, dental, vision, and professional medical claims
Operational experience in a health plan environment in or more of the following domains: enrollment/eligibility, provider data management, or account installation
Knowledge of medical terminology, ICD-10, CPT, HCPCS, and revenue codes
Proficient computer skills to include Microsoft Office applications and Google Suite
Excellent verbal and written communication skills
Ability to sit for extended periods of time at a computer workstation
Ability to Multitask and think creatively
Performs other duties and projects assigned
Preferred
Familiarity with claim coding and editing rules
Experience with SQL, including understanding and creating queries
Company
Curative
Curative provides employer-based health insurance plans and healthcare services.
H1B Sponsorship
Curative has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (2)
2021 (4)
Funding
Current Stage
Late StageTotal Funding
$160.55MKey Investors
Upside Vision FundJustin Mateen
2025-11-28Series B· $152.55M
2020-09-23Series A· $8M
2020-02-01Seed
Recent News
Soma Capital
2026-01-09
2026-01-07
2026-01-03
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