This is a payer-side claims configuration role, not a generic “analyst” job. You’ll be building and configuring benefits, pricing, and system rules inside a health plan core admin platform, then partnering with testing to make sure it works cleanly across Medicare, Medicaid, Commercial, and Exchange plans. If you’ve got real Facets, QNXT, or HealthRules Payer time, this is a legit lane.
About Firstsource
Firstsource supports organizations with specialized operations and technology services, including healthcare and payer-focused work. This role supports clients by translating business and regulatory needs into accurate claims platform configuration.
Schedule
• Remote (U.S.)
• Schedule details not listed
What You’ll Do
• Configure health plan core admin platforms: benefits, system parameters, and pricing requirements across Medicare, Medicaid, Commercial, and Individual Exchange lines
• Gather and document requirements from clients and internal stakeholders
• Create detailed configuration designs, incorporate feedback, and secure approvals before implementation
• Execute approved configuration changes accurately and in line with client specs
• Partner with testing/QA to validate configurations, review test results, and refine as needed
• Ensure configurations align with business requirements and regulatory standards
What You Need
• 2+ years of configuration experience in HealthRules Payer, Facets, or QNXT (U.S. health insurance required)
• Experience configuring across Medicare, Medicaid, Commercial, and Individual Exchange
• Strong communication skills and confidence working directly with clients and internal teams
• Detail-oriented mindset with comfort owning designs, approvals, and execution
Benefits
• Not listed (posting focuses on role requirements)
• EEO/AA employer, drug-free workplace, and E-Verify participant
Backbone moment: if you don’t already have hands-on HRP/Facets/QNXT configuration, this isn’t a “learn on the job” posting. They’re basically saying “bring the platform experience or don’t apply.”
Happy Hunting,
~Two Chicks…