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Configuration Testing Specialist - HealthRules Payor

Job in Lafayette, Sussex County, New Jersey, 07848, USA
Listing for: 3B Staffing
Full Time position
Listed on 2026-06-02
Job specializations:
  • IT/Tech
    IT QA Tester / Automation, Systems Analyst, Data Analyst, IT Consultant
Job Description & How to Apply Below
Location: Lafayette

Configuration Testing Specialist - Health Rules Payor

Location:

Remote

Employment Type:

Contract

Rate: flex based on market

MUST have experience with Health Rules Payor (HRP)

Position Summary:

We are seeking an experienced Configuration Testing Specialist with in-depth knowledge of Health Rules 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 Health Rules 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 Health Rules 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 Dev Ops, or similar test management tools.
  • Knowledge of EDI transactions (e.g., 837, 835) and claims lifecycle processes.
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