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.