Implementation Lead

Blue Card Implementation Leads (2 POSITIONS - 1 is Configuration focused, 1 is Testing focused)100% Remote - CST Business Hours12 month contract with high chance of extension **Unable to do C2C or Provide Sponsorship**Position OverviewWe are seeking experienced Blue Card Subject Matter Experts to support a large-scale Blue Card implementation for a Medicare platform. We are hiring for two closely aligned opportunities, both requiring deep Blue Card expertise, healthcare claims knowledge, and the ability to partner across business and technical teams.One opportunity is focused on Blue Card Configuration & Production Support, owning HealthRules Payor (HRP) configuration, supporting go-live activities, and ensuring long-term production stability. The second opportunity is focused on Blue Card Technology & Testing, serving as the subject matter expert for testing, transaction analysis, troubleshooting, and end-to-end claims processing validation.Both individuals will play a critical role in implementation success by helping establish best practices, supporting knowledge transfer, troubleshooting complex claims issues, and serving as a trusted Blue Card resource throughout implementation, go-live, and post-production stabilization.Blue Card Configuration & Production Support Lead Responsibilities:Own Blue Card configuration activities within HealthRules Payor (HRP)Support configuration updates required for operational, regulatory, and business needsValidate configuration changes through testing and production readiness reviewsServe as the escalation point for complex Blue Card production issuesDiagnose and resolve configuration-related defects impacting claims processingSupport go-live, hypercare, and ongoing production operationsPartner with Claims Operations, Testing, Product, Vendors, and technical teams to resolve issuesDevelop support documentation, runbooks, and troubleshooting guidesProvide knowledge transfer and guidance to internal support resourcesBlue Card Technology & Testing SME Responsibilities:Serve as the Blue Card subject matter expert across implementation and testing activitiesSupport system, integration, end-to-end, user acceptance, and go-live testingReview test scenarios, test data, and defect analysisTroubleshoot complex Blue Card transactions and claims processing issuesPerform root cause analysis and partner with technical teams to resolve defectsAnalyze Blue Card transaction files and processing dataSupport transaction troubleshooting utilizing applicable analysis toolsProvide mentorship and knowledge transfer to testing, operations, and business teamsParticipate in issue triage, production readiness, and hypercare activitiesRequired Qualifications:7+ years of healthcare payer experience5+ years of Blue Card experienceStrong understanding of healthcare claims processing and adjudication workflowsExperience supporting Blue Card implementations or operationsExperience troubleshooting complex claims processing issuesAbility to communicate technical concepts clearly to business and technical stakeholdersStrong analytical, problem-solving, and root cause analysis skillsExperience supporting go-live and production stabilization effortsAdditional Qualifications:For Configuration & Production Support Lead:Experience with HealthRules Payor (HRP) configurationExperience supporting production claims environmentsExperience with claims configuration and system changesExperience supporting payer implementations and go-livesFor Technology & Testing SME:Experience supporting Blue Card testing and implementation effortsExperience with test strategy, test cases, UAT, and defect analysisExperience analyzing Blue Card transaction processing issuesExperience working with SF, DF, RF transaction files and/or EBCDIC processing is preferredPreferred Qualifications:Experience working with Blue Cross Blue Shield organizationsMedicare Advantage and/or Commercial Claims experienceHealthEdge experienceConsulting or managed services experienceExperience training, mentoring, or leading knowledge transfer initiativesBENEFITS OF WORKING WITH BROOKSOURCE:Direct communication with the hiring manager, which allows us to move candidates through the interview process faster.Dedication to keep an open line of communication and provide full transparency.Benefits & Perks:Brooksource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.Pay Disclaimer:The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, military or veteran status, citizenship, pregnancy (including childbirth, lactation, and related conditions), or any other protected status in accordance with applicable federal, state, and local laws.