What are the responsibilities and job description for the HRP Configuration Lead position at Saransh Inc?
Job Description
Job Description
Role : HRP (Health Rules Payer) Configuration Lead
Location : Morris Plains, NJ (or) Tampa, FL (Hybrid - Once or twice a week onsite is must to office location)
Job Type : Contract
Role Description :
As a HRP Configuration Lead you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards.
Experience : 12 Years
Primary Skills :
HealthRules Payer, HealthRules Language, HealthEdge
Secondary Skills : Agile, SAFe
Educational Qualifications :
Bachelor's degree in computer science, information technology or a similarly relevant field is highly preferred.
Skills Requirement :
- Understands Healthcare Payor business functions and IT systems.
- Understanding of US Healthcare Payor work-streams including Claims, Network and Pricing, Provider Management, Medical Management, Premium Billing and Payment, Member Enrollments, Benefits Management, HIPAA X12 transactions 837I / P / D,834, 270 / 271, 835
- Well versed with various lines of business - Medicaid, Medicare, commercial etc.
- Healthcare industry standards and codes usage - ICD10, HCPCS, CPT, Revenue Codes, DRG, APC and NDC
- Core Administrative Processing Systems (HealthRules, Facets, and QNXT, etc.)
HealthRules Configuration :
