[Remote] HealthRules Consultant I

Note: The job is a remote job and is open to candidates in USA. UST HealthProof is a trusted partner for health plans, offering an integrated ecosystem for health plan operations. The HealthRules Consultant I will support configuration activities, manage incidents, and validate offshore configuration activities while leading a team of business analysts to ensure effective solutions for customers. Responsibilities • Work with customers and develop process workflows • Supporting the patch and updates to applications • Comply with the organization’s Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls • Analyze business requirements, configure and unit test software (HealthRules Payor) • Work independently to solve and test complex scenarios • Analyze data and draw conclusions • Demonstrate excellent communication skills • Understand and execute automation tools • Synthesize complex information • Be flexible in work roles and hours • To work independently with little or no supervision • Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims) • Must be ready to take on additional roles and responsibilities to drive towards becoming a Configuration Lead • Assist other team members with complex issues related to their field of expertise • Provide configuration training to internal team and customer • Work in a team environment and share knowledge Skills • Minimum high school diploma required. Professional degree preferred • Minimum 2 years' HealthRules Configuration Experience • Experience working in an offshore model is required • Microsoft Word, PowerPoint, Excel and Visio • Experience with Agile tools and methodologies including JIRA and SCRUM • Analytical Abilities • Critical thinking • Leadership ability • Familiar with debugging and testing concepts • Work with teams to quickly find and document root causes, and effectively communicate possible resolutions • Communicate effectively across all levels within Technology, Business and Operations • Approach problems as challenges and deal with them constructively while promoting this approach to the organization • Must have experience in at least two modules of HealthRules Payor (i.e., Benefits, Pricing, Claims) • Excellent communication skills • Critical thinking skills • Analytical person who's able to grasp customer needs and works with the team lead to develop solutions as needed to support the customer • Be flexible in work roles and hours • To work independently with little or no supervision • Assist other team members with complex issues related to their field of expertise • Provide configuration training to internal team and customer • Work in a team environment and share knowledge 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 • Purchase additional voluntary short-term disability benefits • Participate in a Health Savings Account (HSA) • Participate in a 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 Overview • UST HealthProof offers risk adjustment, quality programs, and healthcare payer technology services. It is a sub-organization of UST. It was founded in undefined, and is headquartered in Aliso Viejo, California, USA, with a workforce of 501-1000 employees. Its website is https://usthealthproof.com. Company H1B Sponsorship • UST HealthProof has a track record of offering H1B sponsorships, with 40 in 2025, 43 in 2024, 31 in 2023, 3 in 2022. Please note that this does not guarantee sponsorship for this specific role. Apply Now Apply Now