What are the responsibilities and job description for the HRP Configuration Consultant position at Techskills?
Job Title : HRP Configuration Consultant
Location : Tampa, FL or Morris Plains, NJ (Hybrid)
Duration : 6 Months
Educational Qualifications:
- Bachelor’s degree in computer science, information technology or a similarly relevant field is highly preferred.
Mandatory Technical skills
- HealthRules Payer
- HealthRules Language
- HealthEdge
Good to have skills:
- Agile, SAFe
Experience: 12 Years
Responsibilities: -
- 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: Set up of Benefit Plan, Network and Supplier Contracts (Pricing), Providers, Enrollment, Premium, and Account, sub-accounts, etc.
- Interacting with customers, internal stakeholders and other third-party vendors for requirements gathering, architecture and design discussions, development, testing and other activities
- Implement HealthRules as claims adjudication system and integration of HealthRules with existing application ecosystem
- Responsible for architecting, designing and deployment of HealthEdge HRP components in implementing a Claim administration system
- Understand HealthRules API and Connector services and can integrate HealthRules with required applications
- Support / guide data profiling and data migration from other claims systems (Facets, Amisys, QNTX, etc.) to HealthRule system
- Documentation of project deliverables and versioning Mentor and guide team on technology, frameworks, processes and ensure quality of deliverables
- Support testing and deployment of HRP solutions Architect, design, code, test and document interfaces of moderate-to-high complexity as per the requirement specifications
- Mentor and guide team on technology, frameworks, processes and ensure quality of deliverables. Support testing and deployment of HRP solutions
Job Type: Contract
Ability to Commute:
- Morris Plains, NJ 07950 (Preferred)
Ability to Relocate:
- Morris Plains, NJ 07950: Relocate before starting work (Required)
Work Location: Hybrid remote in Morris Plains, NJ 07950
