Configuration Testing Specialist - HealthRules Payor

Configuration Testing Specialist - HealthRules Payor


Location: Remote


Employment Type: Contract


Rate: flex based on market

MUST have experience with HealthRules Payor (HRP)

Position Summary:


We are seeking an experienced Configuration Testing Specialist with in-depth knowledge of HealthRules Payor (HRP) configuration and claims testing. The ideal candidate will have hands-on experience with HRP Test Runner and a strong understanding of healthcare payer systems, benefit configuration, and end-to-end claims validation.

Key Responsibilities:

• Develop, execute, and maintain test plans and test cases for HealthRules Payor configuration changes.
• Utilize HRP Test Runner to perform automated and manual testing of benefit, provider, and member configurations.
• Validate claim processing scenarios to ensure system accuracy and compliance with benefit design and payer rules.
• Collaborate with configuration analysts, developers, and business teams to identify defects and track resolutions.
• Analyze test results, document findings, and communicate detailed reports on configuration and claims testing outcomes.
• Support regression testing cycles and verify post-implementation changes for accuracy and completeness.
• Participate in design sessions to provide configuration testing insights and ensure alignment with operational requirements.

Required Qualifications:

• 3+ years of experience working with HealthRules Payor configuration and testing.
• Proficient in using HRP Test Runner for automated configuration and claims validation.
• Strong understanding of healthcare payer operations, including claims adjudication, benefits configuration, and provider setup.
• Hands-on experience with SQL and data validation tools.
• Excellent analytical, problem-solving, and communication skills.
• Ability to work independently and in cross-functional teams in a fast-paced environment.

Preferred Qualifications:

• Experience with Agile/Scrum methodologies.
• Familiarity with JIRA, Azure DevOps, or similar test management tools.
• Knowledge of EDI transactions (e.g., 837, 835) and claims lifecycle processes.