COMPANY OVERVIEW:

HealthAxis is a prominent provider of core administrative processing system (CAPS) technology, business process as a service (BPaaS), and business process outsourcing (BPO) capabilities to healthcare payers, risk-bearing providers, and third-party administrators. We are transforming the way healthcare is administered by providing innovative technology and services that uniquely solve critical healthcare payer challenges negatively impacting member and provider experiences.
We live and work with purpose, care about others, act with integrity, communicate with transparency, and don’t take ourselves too seriously.
We’re not just about business – we’re about people. Our commitment to a people-first approach shapes everything we do, from collaborating as a team to serving our valued clients. We believe that creating a vibrant and human-centric environment can inspire engagement, empower our team members, and ignite a sense of purpose in all that we accomplish.

EDUCATION, EXPERIENCE AND REQUIRED SKILLS:

• Experience with UM/Medical Management platforms (Incedo, InfoMC) is required.
• Experience with healthcare claims processing is required.
• Experience with system configuration is required.
• Strong problem-solving, communication, and analytical skills is required.
• LPN or RN background is preferred.

PURPOSE AND SCOPE:

This role focuses on configuring, implementing, and maintaining Utilization Management (UM) platforms such as Incedo or InfoMC, ensuring alignment with client needs and operational goals. Responsibilities include: gathering requirements, troubleshooting platform issues, performing data analysis, and collaborating with clients, vendors, and internal teams to drive performance and continuous improvement.

PRINCIPAL RESPONSIBILITIES AND DUTIES:

• Gather and analyze business/technical requirements; support platform configuration and implementation.
• Troubleshoot system issues; ensure minimal downtime and regulatory compliance.
• Collaborate cross-functionally for integration, testing, and quality assurance.
• Train users and support onboarding of new clients and vendors.
• Lead and coordinate cross-functional projects; provide guidance and technical direction.
• Monitor system performance and recommend improvements.