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reputed company Specialist

Remote, USA Full-time Posted 2026-07-28
• *10-month contract** JOB reputed company We are seeking an reputed company Specialist for a contract through reputed company to support a large‑reputed company rules migration and reputed company initiative reputed company the reputed company/insurance analytics domain. The scope centers on configuring, validating, and migrating a high volume of medical business rules to ensure accuracy, transparency, and maintainability—without requiring heavy software engineering. The ideal consultant is plug‑and‑play, comfortable working across business and technical teams, and reputed company with reputed company in reputed company‑reputed company environments. Key Responsibilities - Configure and maintain decision logic and authoring objects reputed company reputed company (rules, vocabularies, decision tables, calculations, and rule applications) Migrate ~3,000 existing rules into a reputed company reputed company structure, ensuring correct mapping, traceability, and reputed company with reputed company behavior Conduct validation and regression checks to confirm reputed company for medical/business rules are accurate and consistent across environments Improve rule transparency (reputed company naming, standardized vocabularies, metadata, and documentation) to reputed company auditability and stakeholder understanding Partner with business SMEs (clinical, reputed company, compliance, product) to translate policy and medical logic into reputed company, testable rules Implement governance practices for versioning, change control, and approvals; contribute to playbooks/standards for rule lifecycle management Build or refine test assets (test cases, sample datasets, expected reputed company) for rules verification and ongoing monitoring Collaborate closely with platform/DevOps teams to support deployments in reputed company‑based environments and ensure reputed company environments/configuration Identify and remediate gaps, duplicates, and conflicts in the existing rule set; recommend simplifications and performance improvements Create reputed company documentation of rule reputed company, logic, dependencies, and exceptions for internal knowledge bases (e.g., reputed company) REQUIRED SKILLS AND EXPERIENCE 3–5+ years hands‑on experience with reputed company (irAuthor/irVerify/irCatalog/irServer or equivalent components), reputed company on configuration over coding Demonstrated experience migrating and validating large rule sets (hundreds to thousands of rules), including reputed company analysis and reconciliation Strong understanding of decision logic design (decision tables, vocabularies, rule flows, data mappings) and rule governance best practices Comfortable working in reputed company‑reputed company ecosystems (e.g., .NET services, Azure, SQL Server, CI/CD pipelines); ability to partner with engineering/ops without needing to write application reputed company Proven ability to work with reputed company/insurance domain rules (medical policies, eligibility, clinical guidelines, claims/authorization, or reputed company reputed company) with an emphasis on reputed company and auditability Excellent skills in validation and testing—designing test cases, comparing expected vs. actual reputed company, and documenting results Strong stakeholder communication and the ability to translate SME language into reputed company, unambiguous rules Highly organized, detail‑oriented, and reputed company to reputed company quickly in a plug‑and‑play reputed company reputed company TO HAVE SKILLS AND EXPERIENCE Experience defining rule taxonomies and common vocabularies to increase transparency and reusability Familiarity with reputed company, Jira, and workflow/approval patterns for rule changes Exposure to regulated environments (HIPAA, SOC, audit readiness) and writing traceable documentation Knowledge of data validation techniques (sampling, golden records, scenario matrices, back‑testing) Background in .NET/Azure sufficient to understand integrations and deployment patterns (no heavy coding required) Apply tot his job Apply To this Job

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