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Claim Configuration Analyst Jobs in Minnesota (NOW HIRING)

Adecco

Empr Install Admin

Minneapolis, MN · On-site

$24.16/hr

Analyze issues/defects and debug the system when configuration is not producing the expected results. Partner with claim processors, member service and provider service to identify and resolve issues ...

AGCO

Manager, Engineering, Business Systems

Jackson, MN · On-site

Not everyone can claim to feed the world, but it is part of our every day. Behind everything we do ... This role ensures the integrity of engineering data within PLM, ERP, CAD, and product configuration ...

AGCO

Manager, Engineering, Business Systems

Jackson, MN · On-site +1

Not everyone can claim to feed the world, but it is part of our every day. Behind everything we do ... This role ensures the integrity of engineering data within PLM, ERP, CAD, and product configuration ...

AGCO

Manager, Engineering, Business Systems

Jackson, MN · On-site +1

Not everyone can claim to feed the world, but it is part of our every day. Behind everything we do ... This role ensures the integrity of engineering data within PLM, ERP, CAD, and product configuration ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

... recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ... Partner cross-functionally (Payment Integrity, Customer Service, EDI, Configuration, Finance, IT, ...

Imedica

Director, Claims Operations

Minnetonka, MN

$113K - $194K/yr

... recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ... Partner cross-functionally (Payment Integrity, Customer Service, EDI, Configuration, Finance, IT, ...

Medica

Director, Claims Operations

Minnetonka, MN · On-site

$113K - $194K/yr

... recovery, claim analysis and issue resolution, and provider appeals. A skilled people and ... Partner cross-functionally (Payment Integrity, Customer Service, EDI, Configuration, Finance, IT, ...

All JobsClaim Configuration Analyst JobsClaim Configuration Analyst Jobs in Minnesota

Claim Configuration Analyst information

What are Claim Configuration Analysts?

Claim Configuration Analysts are professionals who specialize in setting up and maintaining the rules, processes, and systems that handle insurance claims within an organization. They ensure that claim processing systems are configured accurately to follow policy guidelines, regulatory requirements, and company procedures. Their role often involves analyzing data, troubleshooting issues, and collaborating with IT, claims, and business teams to optimize claim workflows. By ensuring correct system configurations, they help reduce errors, improve operational efficiency, and support timely claim resolutions.

What is the difference between Claim Configuration Analyst vs Claims Processor?

AspectClaim Configuration AnalystClaims Processor
Primary ResponsibilitiesDesigns and manages claim system setups, analyzes configuration issues, and optimizes claim workflows.Processes individual claims, verifies information, and ensures accurate claim adjudication.
Required Skills & CertificationsKnowledge of insurance systems, data analysis, and possibly certifications like CPCU or similar.Attention to detail, familiarity with claims software, and basic insurance knowledge.
Work EnvironmentTypically office-based, working with IT teams and claims systems.Office or remote, handling claims directly or via claims processing platforms.

The Claim Configuration Analyst focuses on configuring and optimizing claim systems and workflows, while the Claims Processor handles the day-to-day processing of individual claims. Both roles require insurance knowledge, but the analyst role emphasizes system setup and analysis, whereas the processor role emphasizes claim review and verification.

What does a configuration analyst do?

A claim configuration analyst is responsible for setting up and maintaining claim processing systems, ensuring accurate claim adjudication and compliance with policies. They analyze system configurations, troubleshoot issues, and often use specialized software or tools to optimize claim workflows. Strong attention to detail and knowledge of insurance or healthcare systems are essential for this role.

What are the key skills and qualifications needed to thrive as a Claim Configuration Analyst, and why are they important?

To thrive as a Claim Configuration Analyst, you need a strong understanding of healthcare claims processing, benefits administration, and analytical problem-solving, often supported by a degree in business, information systems, or a related field. Familiarity with claims adjudication systems (such as Facets or QNXT), SQL, and potentially industry certifications like Certified Claims Professional (CCP) are commonly required. Attention to detail, effective communication, and the ability to work collaboratively with cross-functional teams are crucial soft skills. These competencies ensure accurate claim system configuration, regulatory compliance, and efficient operations within health insurance organizations.

What does a claims analyst do?

A claims analyst reviews and processes insurance claims to determine their validity and appropriate payout. They analyze claim details, ensure compliance with policies, and use data management tools to identify discrepancies or fraud, supporting accurate and efficient claims resolution.

What are some common challenges faced by Claim Configuration Analysts, and how can they be addressed?

Claim Configuration Analysts often encounter challenges such as interpreting complex insurance policies, ensuring accurate system configuration to minimize claim errors, and keeping up with frequent regulatory changes. Addressing these challenges requires strong analytical skills, attention to detail, and effective collaboration with cross-functional teams like IT, compliance, and claims processing. Regular training and open communication channels help analysts stay updated and maintain high-quality configurations, ultimately reducing errors and improving efficiency.

What jobs pay $500,000 a year in the US?

Claim Configuration Analysts typically do not earn $500,000 annually; such high salaries are usually associated with executive roles, specialized surgeons, or successful entrepreneurs. High-paying jobs often require advanced skills, extensive experience, or ownership of a business. Compensation at this level is rare in standard analyst positions and more common in executive leadership or highly specialized fields.

Is SOC an entry level job?

A SOC (Security Operations Center) analyst role is typically considered an entry to mid-level position, depending on the organization. Entry-level SOC analysts usually require basic knowledge of cybersecurity concepts, monitoring tools, and incident response, with opportunities for certification such as CompTIA Security+ to advance. Experience requirements vary, but many organizations offer training for new analysts.
What are popular job titles related to Claim Configuration Analyst jobs in Minnesota? For Claim Configuration Analyst jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Claim Configuration Analyst jobs in Minnesota look for? The top searched job categories for Claim Configuration Analyst jobs in Minnesota are:
What cities in Minnesota are hiring for Claim Configuration Analyst jobs? Cities in Minnesota with the most Claim Configuration Analyst job openings:
Claim Configuration Analyst jobs near you
Infographic showing various Claim Configuration Analyst job openings in Minnesota as of July 2026, with employment types broken down into 78% Full Time, and 22% Contract. Highlights an 78% In-person, and 22% Remote job distribution.
Senior Business Analyst - Medical Coding Configuration

Senior Business Analyst - Medical Coding Configuration

Blue Cross and Blue Shield of Minnesota

Eagan, MN

$90K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Blue Cross Blue Shield Of Minnesota rating

6.0

Company rating: 6.0 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

276th of 298 rated insurance

Job description

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated individuals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.


The Impact You'll Have We are seeking an experienced Senior Business Analyst - Medical Coding Configuration to support Medicaid claims processing and payment integrity initiatives. This role focuses on analyzing, configuring, and maintaining medical coding and claims editing rules that drive claim adjudication outcomes, including payment, denial, and pended claim scenarios. The ideal candidate will have deep expertise in healthcare claims processing, medical coding methodologies, and claims editing configuration, with hands-on experience in Optum CES (Claims Editing System) and/or FACETS. What You'll Do
  • Conducts in-depth research and analysis.
  • Identifies trends, emerging issues and recommends best practices to ensure maximum results and develops metrics.
  • Documents metrics and process changes.
  • Effectively analyzes, designs, develops, tests, debugs, implements, maintains and/or enhances new or existing systems through reporting and documentation.
How You'll Do It
  • Participate in and coordinate individual projects and related activities to ensure project progresses on schedule.
  • Maintains adequate communication regarding project status, risks, issues, and priorities with project sponsors and leadership.
  • Acts as a liaison with internal partners and external partners to identify opportunities and needs and researches/develops implementation plans for meeting these needs.
  • Responsible for representing the customer and/or stakeholder (internal/external) while collaborating with business and technical units.
  • Serves as senior subject matter expert associated with content, processes, and procedures.
  • May lead project teams and may provide training to lower level staff to achieve project milestones and objectives.
  • Performs additional responsibilities consistent with the scope and level of the role, as assigned.
Required Skills & Experience
  • 5+ years of related information technology professional experience.
  • Bachelor's degree; in lieu of a degree, an additional two years of relevant experience beyond the qualifications listed above may be accepted.

Preferred Skills & Experience
  • Optum CES (Claims Edit System) experience
  • 5+ years of medical coding experience in lieu of Information technology experience.
  • FACETS platform experience.
  • Ability to communicate complex topics clearly and concisely, actively listen to anticipate stakeholder needs, and align others to drive informed decisions.
  • Ability to analyze complex information, evaluate options, and work cross-functionally to drive resolution and prevent recurrence.
  • Ability to effectively organize work, balance competing priorities, and manage time across complex assignments and competing deadlines.
  • Proficiency with business technology platforms, systems, software, and tools.
  • Understanding of business operations, processes, or domain context.
  • Ability to analyze information and support business decisions, solutions, or process outcomes.
Role Designation Hybrid

Role designation definition:

  • Teleworking is working full time remote.
  • Hybrid is a minimum of 2 days onsite.
  • Onsite is full-time onsite.

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Compensation and Benefits $90,800.00 - $120,300.00 - $149,800.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

  • Medical, dental, and vision insurance

  • Life insurance

  • 401k

  • Paid Time Off (PTO)

  • Volunteer Paid Time Off (VPTO)

  • And more

To discover more about what we have to offer, please review our benefits page.

Equal Employment Opportunity Statement

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.


Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: talent.acquisition@bluecrossmn.com.


Blue Cross and Blue Shield of Minnesota and Blue Plus are nonprofit independent licensees of the Blue Cross and Blue Shield Association.


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