Health Rules Configuration Lead

Location :
Sacramento, CA – Hybrid (Preferably candidates from the Bay Area, or those willing to relocate upon selection.)

Position type :
Long Term Contract (12 Months, extendable)

• Lead Health Rules configuration support for commercial group products (benefits, pricing, provider contracts, claims rules)
• Triage and prioritize backlog of defects, enhancement requests, and annual readiness activities
• Coordinate work intake with internal business owners and handoffs to offshore QA team
• Provide technical supervision and code review for configuration analysts

• 7+ years hands‑on Health Rules Payer configuration experience
• 3+ years commercial group health plan configuration (deductibles, out‑of‑pocket max, accumulator logic, tiered benefits)
• Expert‑level proficiency with Health Rules Designer, Health Rules Manager, and Health Rules Language
• Demonstrated experience leading configuration teams or acting as technical lead on Health Rules projects

• Experience with provider network configuration and pricing schedules
• Prior staff augmentation or managed services delivery model experience

• Bachelor’s/Master’s in Computer Science, Information Technology, Engineering, or related field (equivalent experience acceptable).