UST HealthProof · 9 hours ago
HealthRules Payer Configuration Manager
United States
Full-time
Remote
Mid, Senior Level
$110K/yr - $130K/yr
4+ years expUST HealthProof is a trusted partner for health plans, offering integrated solutions for health plan operations. The HealthRules Payer Configuration Manager will oversee a team of configuration analysts to ensure successful delivery of a configured HealthRules system, aligning implementation efforts with company standards and project goals.
Hospital & Health Care
Hiring Manager
Meghan Modrak
Responsibilities
Play a leadership role to support and drive active implementation initiative, which will be client facing as well as working with other areas in the organization
Play a key role in advising clients on their business problems as a Subject Matter Expert (SME)
Responsible for ensuring implementations are delivered successfully on time, and in alignment with project objectives by monitoring progress, identify risks and mitigation strategies, as needed
Collaborate with cross-functional teams to support seamless project execution
Lead and mentor a geographically distributed team (onshore and offshore), providing guidance, support, and resolution of complex issues to ensure high-quality deliverables and continuous professional development
Qualification
Required
Bachelor's degree in a related field required
Must have 4+ years of experience/knowledge of HealthRules Payer, a claims processing system
Must have experience in implementing one or more line of business – Medicare, Medicaid, and/or Commercial, Self-funded etc
Experience working in an offshore model is required
Demonstrate strong analytical and problem-solving skills to identify root causes and implement effective solutions
Demonstrate eagerness to learn and the ability to adapt quickly in a dynamic, fast-paced environment
Excellent communication skills and presentation skills including the ability to convey business requirements/configuration effectively
Microsoft Word, PowerPoint, Excel and Visio
Experience with Agile tools and methodologies including JIRA and SCRUM
Benefits
Full-time, regular employees accrue up to 16 days of paid vacation per year
Receive 6 days of paid sick leave each year (pro-rated for new hires throughout the year)
10 paid holidays
Eligible for paid bereavement leave
Eligible to participate in the Company’s 401(k) Retirement Plan with employer matching
Eligible for medical, dental, and vision insurance
Basic life insurance
Accidental death and disability insurance
Short- and long-term disability benefits
May purchase additional voluntary short-term disability benefits
Participate in a Health Savings Account (HSA)
Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses
Potential for quarterly incentive-based bonuses and or commissions depending on role
Company
UST HealthProof
UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST.
501-1000 employees
H1B Sponsorship
UST HealthProof has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (43)
2023 (31)
2022 (3)
Funding
Current Stage
Late StageTotal Funding
unknown2025-09-04Acquired
Leadership Team
Kevin Adams
Chief Executive Officer
Beth Maxwell
VP Product Delivery and Partnerships
Recent News
2025-12-06
Precedence Research
2025-11-21
2025-11-07
Company data provided by crunchbase