Demo

HealthRules Configuration Lead

Fixity Technologies
Sacramento, CA Remote Contractor
POSTED ON 5/24/2026
AVAILABLE BEFORE 6/23/2026

Job description:

Primary Responsibilities

Lead HealthRules configuration activities for commercial group products, including:

o Benefits configuration

o Pricing and accumulator logic

o Provider contracts

o Claims processing rules

Triage, prioritize, and manage the configuration backlog, including:

o Production defects

o Enhancement requests

o Annual readiness and renewal activities

Act as the primary intake point for configuration work from business owners and operations teams

Coordinate configuration handoffs and testing support with the offshore QA team

Provide technical guidance, oversight, and configuration code review for configuration analysts

Ensure configuration aligns with approved business requirements and testing standards

Deliver weekly status reporting to Client

Support operational stability

Operate in a ~20% supervisory / lead capacity, with the remainder in hands-on configuration and analysis

Required Skills & Experience

7 years of hands-on HealthRules Payer configuration experience

3 years supporting commercial group health plan configuration, including:

o Deductibles

o Out-of-pocket maximums

o Accumulators

o Tiered benefit designs

Expert-level proficiency with:

o HealthRules Designer

o HealthRules Manager

o HealthRules Language (HRL)

Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects

Strong understanding of end-to-end claims processing and benefits configuration

Strong communication skills with ability to:

o Partner with business stakeholders

o Explain technical configuration decisions clearly

Preferred Qualifications

Experience with provider network configuration and pricing schedules

Prior experience working in a staff augmentation or managed services delivery model

Experience supporting annual benefit renewals and readiness cycles

Experience working with offshore QA or testing teams

Salary : $70

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