- Understanding of healthcare benefits and how they impact claims adjudication.
- Benefit and Claims configuration experience (benefits, supplier contracts, claims processing rules).
- Front End configuration experience within any claims processing system.
- Knowledge of HealthRules or Facets best practices (analytical approach, not a see it key it mentality).
- Document Configuration Control Framework (CCF).
- Complete unit testing
- Ability to represent Configuration Services as a subject matter expert in project requirement sessions.
- Provides guidance on HealthRules or Facets functionality and system limitations.
- Act as a liaison for HealthRules or Facets testing inquiries and activities between the Testing team and the business owner.
- Mentor and train Configuration Analysts on HealthRules or Facets with Best Practices.