HealthRules Configuration Lead

ITC Infotech
United States
23 days ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Expert
Experience required
3 years minimum
Working hours
Regular working hours
Job source

Tech stack

Code Review Network Configuration and Change Management

Job description

  • Lead HealthRules configuration activities for commercial group products, including:
  • Benefits configuration
  • Pricing and accumulator logic
  • Provider contracts
  • Claims processing rules
  • Triage, prioritize, and manage the configuration backlog, including:
  • Production defects
  • Enhancement requests
  • 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 handson configuration and analysis

Requirements

  • 7+ years of handson HealthRules Payer configuration experience
  • 3+ years supporting commercial group health plan configuration, including:
  • Deductibles
  • Outofpocket maximums
  • Accumulators
  • Tiered benefit designs
  • Expertlevel proficiency with:
  • HealthRules Designer
  • HealthRules Manager
  • HealthRules Language (HRL)
  • Demonstrated experience acting as a configuration lead or technical lead on HealthRules projects
  • Strong understanding of endtoend claims processing and benefits configuration
  • Strong communication skills with ability to:
  • Partner with business stakeholders
  • Explain technical configuration decisions clearly, * 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, * Bachelor s of Engineering or related fields.

About the company

ITC Infotech is a wholly owned subsidiary of ITC Limited, one of India’s foremost private sector companies and a diversified conglomerate. The ITC Group, with a market capitalization of $65 billion, is globally recognized as a leader in sustainability. The group’s vision is to achieve world-class performance and create growing value for both the Indian economy and its stakeholders. This vision is supported by core values such as Trusteeship, where professional managers hold the company in “trust” for its stakeholders; a strong Customer Focus; Respect for People; a commitment to Excellence; a pursuit of Innovation; and a strong Nation Orientation.

ITC Infotech’s business philosophy is that business is at the center and technology is an enabler, as reflected in its tagline, “Business-friendly Solutions.” The company offers a wide range of services and solutions across key business areas, including CIO Services (Automation, Digital Workplace, ERP), Digital Experience (Experience Transformation), and Product 4.0 (Product Lifecycle Management, Digital Manufacturing). In the last seven years, ITC Infotech has successfully doubled its revenue from $250 million to $500 million+ annually, with its EBIT improving from 8% to over 18%.

With this strong growth momentum, ITC Infotech is now embarking on its next journey, known as ‘Next Orbit,’ with the ambitious goal of reaching $1 billion in annual revenue within the next four years. The Americas region is a critical part of this charter and is expected to increase its contribution to total revenue from the current 35% to a range of 40% to 50%. Manufacturing is a key vertical for the group and ITC Infotech with BFSI, Retail, CPG, Travel, Transportation & Hospitality being others.

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