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Benefits Configuration Analyst Jobs (NOW HIRING)

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

Facets configuration analysts with experience in product build and NetworX configuration. Required ... Knowledge of claims and how that goes into product and benefit configuration This is a remote ...

3B Staffing LLC

Sr. Configuration Analyst

Lebanon, OH · On-site

Medical Plan Benefit Configuration * Provider Network & Agreement Configuration * Medicare/Medicaid ... Excellent analytical and problem-solving abilities * Strong verbal and written communication skills

3B Staffing LLC

Sr. Configuration Analyst

Lebanon, OH · On-site

Medical Plan Benefit Configuration * Provider Network & Agreement Configuration * Medicare/Medicaid ... Excellent analytical and problem-solving abilities * Strong verbal and written communication skills

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Benefits Configuration Analyst information

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How much do benefits configuration analyst jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for benefits 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 are the key skills and qualifications needed to thrive as a benefits configuration analyst?

To thrive as a Benefits Configuration Analyst, you need strong analytical skills, attention to detail, and a solid understanding of health plan benefits, typically supported by a bachelor’s degree in a related field. Familiarity with benefits administration software, claims processing systems, and proficiency in tools like SQL or Excel are often required. Excellent problem-solving abilities, communication skills, and the capacity to manage multiple tasks simultaneously are valuable soft skills in this role. These competencies ensure accurate benefit setup, minimize errors, and enable effective collaboration across teams, ultimately supporting operational efficiency.

What is the difference between Benefits Configuration Analyst vs Compensation Analyst?

AspectBenefits Configuration AnalystCompensation Analyst
Primary FocusDesigning and managing employee benefits plansAnalyzing and developing compensation structures
Required CredentialsTypically certifications in benefits or HR (e.g., CEBS)Often certifications in compensation or HR (e.g., CCP)
Work EnvironmentHR departments, benefits providers, large organizationsHR departments, consulting firms, large organizations
Industry UsageCommon in healthcare, corporate, government sectorsCommon across corporate, healthcare, and government sectors

While both roles are HR-focused and involve analyzing employee data, the Benefits Configuration Analyst specializes in designing and managing benefits plans, whereas the Compensation Analyst concentrates on developing salary structures and pay policies. Understanding these distinctions helps organizations find the right expertise for their HR needs.

What are some common challenges benefits configuration analysts face when implementing new benefits plans, and how can they overcome them?

Benefits Configuration Analysts often encounter challenges such as interpreting complex plan documents, ensuring compliance with regulatory requirements, and accurately configuring systems to reflect unique plan designs. These challenges can be mitigated by maintaining open communication with stakeholders (like HR and vendors), thoroughly testing configurations before deployment, and staying updated on industry changes. Collaborating closely with cross-functional teams and leveraging documentation or configuration checklists also helps ensure accuracy and smooth implementation.

What is a benefits configuration analyst?

Benefits Configuration Analysts are professionals who specialize in setting up and maintaining employee benefits programs within software systems, such as health insurance, retirement plans, and other employee perks. They analyze plan requirements, configure benefit options in HR or payroll systems, and ensure compliance with regulations and company policies. Their role also involves troubleshooting system issues, testing configurations, and collaborating with HR, IT, and vendors to ensure that benefits are administered accurately and efficiently.
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What states have the most Benefits Configuration Analyst jobs? States with the most job openings for Benefits Configuration Analyst jobs include:
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Benefits Configuration Analyst jobs near you
Infographic showing various Benefits Configuration Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% Contract. Highlights an 95% Physical, 2% Hybrid, and 3% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Weehawken, NJ • Remote

Full-time

Medical

This job post has expired today. Applications are no longer accepted.

Job description

Position Overview

We are seeking an experienced  QNXT Benefit Configuration Analyst  to support the implementation, enhancement, and maintenance of benefit plans within the  TriZetto QNXT  platform. The ideal candidate will have extensive experience configuring commercial and/or government healthcare products, translating business requirements into system configurations, and collaborating with cross-functional teams to deliver high-quality healthcare solutions.  

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design, claims processing, SQL, and end-to-end testing.

Roles and Responsibilities
  • Configure and maintain benefit plans within the QNXT platform based on business and regulatory requirements. 
  • Configure Service Groups, Restriction Groups, Copay Groups, Coinsurance, Deductibles, Out-of-Pocket Maximums (MOOP), Accumulators, Visit Limits, Authorization Rules, and Benefit Limits. 
  • Configure benefits for Commercial, Medicare Advantage, Medicaid, Exchange, PPO, HMO, POS, EPO, and ASO products. 
  • Analyze business requirements and translate them into detailed configuration specifications. 
  • Collaborate with Business Analysts, Product Owners, Configuration Analysts, Developers, QA, and Business Stakeholders. 
  • Perform impact analysis for new benefit changes, regulatory updates, and annual benefit plan implementations. 
  • Support annual benefit rollovers and Open Enrollment implementations. 
  • Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly. 
  • Develop configuration documentation, design documents, mapping documents, and implementation guides. 
  • Troubleshoot benefit configuration issues and identify root causes. 
  • Support production incidents and resolve benefit configuration defects. 
  • Participate in requirements gathering sessions, JAD sessions, backlog grooming, sprint planning, and release planning. 
  • Work closely with QA teams during SIT, UAT, and regression testing. 
  • Perform SQL queries to validate configuration data, troubleshoot issues, and analyze claim outcomes. 
  • Participate in release deployments and post-production validation activities. 
  • Collaborate with downstream teams supporting Claims, Enrollment, Provider, Finance, EDI, and Customer Service. 
  • Maintain configuration version control using QCS, CMT, or other migration tools. 
  • Ensure compliance with CMS, State Medicaid, and Commercial regulatory requirements. 
Required Qualifications
  • 5+ years of Healthcare Payer experience. 
  • 5+ years of hands-on TriZetto QNXT Benefit Configuration experience. 
  • Strong understanding of healthcare benefit design and claims adjudication. 
  • Experience configuring: 
    • Service Groups 
    • Restriction Groups 
    • Copay Groups 
    • Coinsurance 
    • Deductibles 
    • Accumulators 
    • MOOP 
    • Visit Limits 
    • Prior Authorization Rules 
    • In-Network / Out-of-Network Benefits 
  • Experience with Commercial, Medicare, and Medicaid benefit plans. 
  • Strong SQL skills including: 
  • Experience troubleshooting claims adjudication issues. 
  • Experience validating benefit configurations using test claims. 
  • Ability to read and interpret business requirements and technical documentation. 
  • Strong analytical and problem-solving skills. 
  • Excellent communication and stakeholder management skills. 
Preferred Qualifications
  • Experience with QCS (QNXT Configuration Studio). 
  • Experience with CMT (Configuration Migration Tool). 
  • Experience supporting annual benefit implementations. 
  • Experience with Medicare Advantage and Medicaid Managed Care plans. 
  • Experience with CMS regulations. 
  • Experience working in Agile/Scrum environments. 
  • Experience using Jira, Azure DevOps, or Rally. 
  • Experience supporting large healthcare payer organizations. 

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