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Benefit Configuration Analyst Jobs (NOW HIRING)

Photon

QNXT Benefit Configuration SME - VA

Norfolk, VA · On-site

The Benefit Configuration Analyst SME would be collaborating with stakeholders to gather, assess, interpret, and design/document Benefit configuration needs and coverage requirements. * Analysts must ...

Photon

QNXT Benefit Configuration SME - VA

Norfolk, VA · On-site

The Benefit Configuration Analyst SME would be collaborating with stakeholders to gather, assess, interpret, and design/document Benefit configuration needs and coverage requirements. * Analysts must ...

Vytwo

Health Rules Configuration Analyst

Prosper, TX · Remote

Experience in benefit and authorization configuration of the Health Rules Payor platform. Required skills: * At least 3 years of experience in configuration of Health Rules Payor benefit ...

Vytwo

Facets Configuration Analyst

Prosper, TX · Remote

Role: Facets Configuration Analyst Duration: 7 months USA - Remote Work Facets configuration ... Knowledge of claims and how that goes into product and benefit configuration This is a remote ...

Wipro Limited

Benefits Configuration Analyst

Tampa, FL · On-site

$58K - $62K/yr

Benefits Configuration Analyst City: Tampa State/Province: Florida Posting Start Date: 5/6/26 Wipro ... Design, analyze, and implement benefit coding change requests with a high level of precision ...

Capital Rx

Benefit Configuration Specialist

Denver, CO · On-site +1

$78.80K - $98.50K/yr

... Benefit Configuration Specialist is responsible for supporting the testing and validation of ... Analyze claim outputs to confirm expected adjudication behavior and accumulator movement.

Judi Health

Benefit Configuration Specialist

Denver, NY · On-site +1

$78.80K - $98.50K/yr

... Benefit Configuration Specialist is responsible for supporting the testing and validation of ... Analyze claim outputs to confirm expected adjudication behavior and accumulator movement.

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How much do benefit configuration analyst jobs pay per hour?

As of May 29, 2026, the average hourly pay for benefit configuration analyst in the United States is $41.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $52.88 per hour, depending on experience, location, and employer.

What is a Benefit Configuration Analyst job?

A Benefit Configuration Analyst is responsible for setting up, testing, and maintaining benefits configurations within healthcare or insurance systems. They analyze plan requirements, ensure compliance with regulations, and troubleshoot system issues. The role requires attention to detail, knowledge of benefits administration, and proficiency in technical systems. Analysts collaborate with cross-functional teams to optimize system functionality and improve operational efficiency.

What are the key skills and qualifications needed to thrive in the Benefit Configuration Analyst position, and why are they important?

To thrive as a Benefit Configuration Analyst, you need a solid understanding of health plan benefits, attention to detail, and experience with data analysis, usually supported by a bachelor's degree in a related field. Familiarity with benefits administration platforms such as Facets, QNXT, or other healthcare management systems is often required, and certifications in healthcare IT or project management can be beneficial. Strong communication, problem-solving abilities, and organizational skills enable effective collaboration with cross-functional teams and timely resolution of complex configuration issues. These skills are crucial to ensure accurate benefit implementation, member satisfaction, and regulatory compliance in a dynamic healthcare environment.

What does a typical workday look like for a Benefit Configuration Analyst?

A typical day for a Benefit Configuration Analyst involves reviewing plan documents, configuring benefits in the system, validating setup accuracy, and troubleshooting discrepancies. Analysts often collaborate with product teams, IT staff, and client representatives to ensure benefits meet both regulatory and client requirements. You may participate in meetings to discuss upcoming changes, document configuration processes, and address any system updates or issues. Most roles involve a balance of independent analytical work and active cross-team communication, offering a structured yet dynamic workflow. This collaborative environment supports both professional development and a broader understanding of healthcare operations.
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Benefit Configuration Analyst jobs near you

Benefit Configuration Analyst

MetroPlusHealth

Manhattan, NY • Hybrid

$85K - $95K/yr

Full-time

Posted 15 days ago

MetroPlusHealth rating

7.8

Company rating: 7.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

164th of 259 rated insurance

Job description

Position Overview
The Benefit Configuration Analyst will be responsible for constructing the Claims Processing Systems to process new enrollments. Experienced candidates must demonstrate working understanding of claims processing systems and
working knowledge of the health care industry.

Scope of Role & Responsibilities

  • Configure MHP’s core systems to meet regulatory requirements and business needs.
  • Meet with business areas to gather configuration requirements.
  • Create and maintain Core Systems user guide related to configuration changes.
  • Create and maintain Core Systems user guide related to configuration changes.
  • Test system modifications and configuration changes.
  • Analyze business process to improve efficiencies.
  • Create templates on benefits to track current configuration.
  • Ensure system processes and services are aligned with the department’s need.
  • Analyze the system to ensure claims are processed correctly to prevent the company from liabilities.
  • Collaborate with MetroPlusHealth system consultants to correct errors, rectify omissions, and investigate questionable issues.
  • Identify potential system problems for claims resolution.
  • Analyze business processes, gather the requirements, and document the requirements in line with the strategic initiative
  • Review test cases making sure they are in accordance with requirements and assist the overall testing process.
  • Conduct ongoing reviews of systems and processes to ensure accurate and optimum setup for claims.
  • Attend meetings with managers regarding process plans, functionality, and business processes.
  • Receive, coordinate, and manage requests for Systems Modifications
  • Maintain and track open issues and coordinate releasing testing
  • Document policies and procedures
  • Ability to run reports utilizing sequel
  • Monitor and Manage Core Systems performance
  • Respond to escalated issues from various MetroPlusHealth Departments.
  • Perform and assist with any other functions as required by the Director of Core Systems Operations
  • Participate in special projects as needed.
     

Required Education, Training & Professional Experience

  • A Baccalaureate Degree from an accredited college or university; and
  • Five (5) years of progressive, responsible experience in configuration for data processing, computer systems and applications; or
  • A satisfactory equivalent combination of training, education and experience.

Professional Competencies

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication

#LI-Hybrid

#MHP50

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