1

Claim Configuration Analyst Jobs in Ohio (NOW HIRING)

UnlimitedSystemscustomers enjoy streamlined business office workflows, reduced claim denial rates ... Managing and analyzing Azure Kubernetes Service (AKS) resources to support application availability ...

DevOps Engineer (Hybrid)

Cincinnati, OH · On-site

$50.75 - $69.50/hr

Managing and analyzing Azure Kubernetes Service (AKS) resources to support application availability ... Managing DNS configuration and SSL certificate lifecycle across environments * Managing Web ...

DevOps Engineer (Hybrid)

Cincinnati, OH · On-site

$50.75 - $69.50/hr

Managing and analyzing Azure Kubernetes Service (AKS) resources to support application availability ... Managing DNS configuration and SSL certificate lifecycle across environments * Managing Web ...

Provides analytical support for hospital and physician negotiations. * Prepares and presents cost ... Claim processing and adjustment experience strongly preferred. * You should be comfortable speaking ...

Showing results 21-25

Claim Configuration Analyst information

What is a claim configuration analyst?

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 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 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 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.

Is claims processing a stressful job?

Claims processing as a Claim Configuration Analyst can be stressful due to tight deadlines, high accuracy requirements, and the need to resolve complex issues efficiently. The role often involves detailed data analysis and communication with stakeholders, which can contribute to work-related stress. However, workload and stress levels vary depending on the organization and individual workload management skills.

What job categories do people searching Claim Configuration Analyst jobs in Ohio look for?

The top searched job categories for Claim Configuration Analyst jobs in Ohio are:

What cities in Ohio are hiring for Claim Configuration Analyst jobs?

Cities in Ohio with the most Claim Configuration Analyst job openings:

DevOps Engineer (Hybrid)

Unlimited Systems

Cincinnati, OH • On-site

$110 - $160/hr

Other

Posted 27 days ago


Job description

Unlimited Systems authors the category-leading Unlimited Financials practice management system focused on the unique revenue cycle requirements of specialty healthcare providers. UnlimitedSystemscustomers enjoy streamlined business office workflows, reduced claim denial rates, and accelerated and amplified revenuestreams. Unlimited Systems is committed to ensuring that specialty healthcare providers thrive in a dynamic reimbursement environment.

The Challenge

Unlimited Financialsoperatesacross a sophisticated cloud-native environment;Azure Kubernetes Service, event-sourced microservices, healthcare integrations, and a growing network of downstream data pipelines. At Unlimited Systems, the DevOpsEngineerisn'tjust keeping serversrunning;they'reprotecting the financial health of the providers who depend on Unlimited Financials to get paid.DevOps Engineers bridge the gap betweenmoving fast(shipping features, onboarding customers) andstaying safe(security, compliance, reliability). Atension that is sharper in healthcare than in almost any other industry.

As the operational backbone of a compliance-heavy environment, DevOps Engineers ensure infrastructure is HIPAA-sound, audit-ready,and resilient enough that a failed deploy or infrastructure event never becomes a provider's cash flow problem.

The Position

A full-time, hybrid role reporting to our DevOps Manager, our DevOps Engineer willoccasionallyworkfrom our headquarters in Cincinnati,Ohio. Residency in the state of Ohioor Northern Kentuckyis preferred.

At Unlimited Systems,youwilloperatewith a sense of weightiness around production incidents and work actively to build systems to prevent them.As aDevOps Engineer, you willownthe reliability, security, and delivery infrastructure that keeps the RCM platform running for healthcare providers who depend on it to get paid.

In this position, youwill be accountable for:

  • Optimizingcloud resources within Azure to ensure product reliability and high-performance experiences for end-users

  • Managing and analyzing Azure Kubernetes Service (AKS) resources to support application availability and scalability

  • Collaborating with Developers and Software Engineers to design, build, andmaintainCI/CD pipelines throughout the development lifecycle

  • Proactivelymonitoringand alerting on application performance usingInstanaand Splunk,identifyingand addressing issues before theyimpactend-users

  • Authoring andmaintainingInfrastructure as Code (IaC) scripts using tools such as Azure Bicep and Terraform to ensure repeatable,accurate, and consistent resource deployments across subscriptions

  • Leveraging AI tooling (Claude) to improve operational efficiencies and automate standard DevOps practices

  • Troubleshooting and resolving errors and issues that arise throughout the development and production lifecycle

  • Documenting best practices, procedures, and runbooks to ensure operational consistency and knowledge continuity across the team

  • Managing DNS configuration and SSL certificate lifecycle across environments

  • Managing Web Application Firewall (WAF) policies and associated rules to protect application endpoints

  • Applying security best practices across Azure resources including RBAC, managed identities, Key Vault integration, and network segmentation

  • Supporting audit readiness and compliance requirements relevant to healthcare environments, including HIPAA-adjacent controls

  • Demonstrating a strong understanding of networking concepts includingVNets, subnets, peering, routing, and NSGs to support a secure and well-architected Azure environment

  • Deploying and configuring Azure Virtual Machines to support ad-hoc infrastructure needs across the organization

The Person

Unlike a general SaaS product, Unlimited Financials sits at the intersection ofPHI and financial data. That means as a DevOps Engineer youmustsatisfy HIPAA, PCI-adjacent concerns, and SOC 2 simultaneously — across every environment, pipeline, and integration point. To be successful in this role,you’llbetrustedtobalance and bridgeour proprietary software againsthigh-stakesclientexperiences.

In this role,you’llbe asked to:

  • Championsafedeployments in azero-toleranceenvironment.RCM users — billers, coders, AR teams — work in Unlimited Financials all day. A bad deploy that corrupts a claim queue or breaks a remittance workflow has immediate, measurablefinancial impacton a provider. The DevOps engineer builds pipelines that allow the product team toship confidently without putting revenue at risk.

  • Always be at the “ready”.RCM platforms are frequent targets of payer audits, compliance reviews, and security assessments. The DevOps engineer ensures thatinfrastructure state, access logs, and change history are always audit-ready— not scrambled together the week before a review.

  • Exudecollaboration and maturity.You’llwork directly withproduct and engineering teamsto shape deployment practices, not just execute them.You’llbe comfortable pushing back when a release process introduces unnecessary risk.You’lldocumentsystems,writepostmortems, and close the loop — not just fixingthings and movingon.

Qualifications

Required

  • 4–7 yearsin a DevOps, Platform Engineering, or Site Reliability role

  • Prior experience inhealthcare, RCM, health-tech, or fintechstrongly preferred — someone who already understandswhat'sat stake when systems go down

  • Hands-onexperiencewithAWS or Azure

  • Havebuilt or meaningfully owned aCI/CD pipeline(GitHub Actions, GitLab CI, or similar)

  • Have working knowledge ofHIPAA technical safeguards— encryption, access controls, audit logging — not just awareness that it exists

  • Havebuilt ormaintainedamonitoring and alerting stack(Datadog, Grafana, CloudWatch, PagerDuty)

  • Experience withqueue-based architectures(SQS, Kafka, RabbitMQ) relevant to claim and remittance processing pipelines

  • Experience owning production infrastructure(not just contributed to it)

  • Can becomfortable writing runbooks and leading an incident response(has been on-call and has the scars to prove it)

  • Can distinguish signal from noise in a high-alert-volume environment

Preferred

  • Experience workingin a hybrid or multi-cloud environment common in health system integrations

  • UnderstandsInfrastructure as Code —TerraformorPulumi; you can write it from scratch, not justmodifyexisting configs

  • Understandscontainer orchestration —Kubernetes or ECSin production, including autoscaling, health checks, and resource management

  • Experience withstaged rollouts, feature flags, and automated rollback— not just "push to prod"

  • Understand the difference between deploying fast and deploying safely in a regulated environment

  • Experience supporting aSOC 2 Type II or HITRUST audit— has pulled evidence, worked with security teams, or hardened infrastructure for a review

  • Has familiarity withsecrets management(Vault, AWS Secrets Manager) and least-privilege IAM practices

  • Has familiarity withEDI, HL7, FHIR, or API gateway patterns

Our Process

Ifyou’vemade it this far in the job description,we’dlove to hear from you. We will try to ensure ourselectionprocess is efficient, transparent, andfriendly. (Ifit’snot, please let us know.)

What you can expect from here:

  • If we feel your experience aligns with our search,we’llreach out for a discovery call.We’lltalkabout our companyculture, Unlimited System’s Core Values,thisposition, andwe’lllearn more about your background.

  • From there,we’llasktoviewsome of yourpreviousworkas wellas request thatyoucompletean assessment.Thislets us know whether our expectationsfor the roleactuallyalignwith youruniquestrengths.

  • Ifwe’restill feeling good about each other,we’llpass you on to our Hiring Manager and then to a panel interview so you can meet more of the faces of Unlimited Systems before we make an offer decision.

EEO Statement

Unlimited Systems is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.

Disclaimer

Applicants may be subject to a background check. Employees in this position must be able to satisfactorily perform the essential functions of the position. If requested, Unlimited Systems will make every effort to provide reasonable accommodation to enable employees with disabilities to perform the position’s essential job duties. As markets change and the Organization grows, job descriptions may change over time as requirements and employee skill levels evolve. With this understanding, Unlimited Systems retains the right to change or assign other duties to this Senior Infrastructure Administrator position.

#J-18808-Ljbffr