HealthRules Lead Implementation Citiustech

10.0 - 15.0 years

20 - 35 Lacs

Pune, Chennai, Bengaluru

Hybrid

Job Role: Presales Analyst/Senior Presales Analyst Location: Bangalore, Mumbai, Pune, Chennai, Hyderabad Work Mode: Hybrid Experience: 4 to 7 years Skill: Presales, Healthcare Domain, Sales, Marketing Job Overview: As an HRP Sr Configuration Analyst/Specialist, you must be highly organized and detail-oriented, with strong analytical, problem solving, and prioritization skills. Proficiency in configuring and maintaining HealthRules Payor, a leading healthcare claims management system, is essential, and familiarity with data analytics tools is highly valued Role & responsibilities: Expertise in Healthedage platform with knowledge on configuring benefit plan using HealthRules Payer designer Knowledge on using wizards and template for plan creation. Good knowledge on US health care and payor business functions Perform configuration of product, service categories, value list, BPC, Benefit plan. Perform configuration of Network, Supplier Contract, Fee Components, Fee Schedule, Knowledge of defining and using slots, riders, and templates in HRP Should be able perform due diligence in understanding client current system and creating benefit plans based on benefit plan document. Preferred candidate profile/skill: HealthRules payor, HealthRules Designer Benefit Plan configuration and Supplier Contract Configuration Understanding of Benefit Terminologies: Copay, Coinsurance, Deductible, Limits, and Pre-auth etc. Knowledge of different lines of business e.g. Commercial, Medicare, Medicaid, ASO, HIX, and Fully Insured, etc. Knowledge of supplier contracting terms e.g. Per Diem, Per Case, APC pricing, DRG pricing, fee schedules, etc. Excellent verbal and written communication and interpersonal skills. Good to have skills: HealthRules Payer hands on experience Life at CitiusTech About us: At CitiusTech, we constantly strive to solve the industry's greatest challenges with technology, creativity, and agility. With over 8,500 healthcare technology professionals worldwide, CitiusTech powers healthcare digital innovation, business transformation, and industry-wide convergence for over 140 organizations through next-generation technologies, solutions, and products. We aim to accelerate the transition to a human-first, sustainable, and digital healthcare ecosystem with the world's leading Healthcare and life sciences organizations and our partners. Here is an opportunity for you to make a difference and collaborate with global leaders to shape the future of healthcare and positively impact human lives.

Posted 8 hours ago

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