HealthRules Payer Migration Architect
Benjamin PasupuletiRemoteSENIORPosted 13d ago
HealthRules Payer (HRP)Healthcare Payer ArchitectureClaims AdjudicationData MigrationETLData MappingReconciliationHIPAA X12 EDIIntegrationsCutover PlanningGo-Live Stabilization
About the Role
We are urgently hiring a HealthRules Payer (HRP) Migration Architect to lead complex migration projects in the healthcare payer space.
Key Responsibilities
• Lead end-to-end core claims migration to HealthRules Payer (HRP)
• Design and implement healthcare payer architecture and claims adjudication solutions
• Manage data migration, ETL processes, data mapping, and reconciliation
• Ensure compliance with HIPAA X12 EDI standards including 837, 835, 834, 820, 270/271
• Develop integrations, cutover plans, and ensure go-live stabilization
Requirements
• 10+ years of experience in healthcare payer systems
• 5+ years of hands-on HealthRules Payer (HRP) experience
• Proven track record of leading at least one end-to-end core claims migration to HRP
• Strong understanding of healthcare payer architecture and claims adjudication
• Expertise in data migration, ETL, data mapping, and reconciliation
• In-depth knowledge of HIPAA X12 EDI standards
• Experience with integrations, cutover planning, and go-live stabilization