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Claim Configuration Analyst Jobs in Baltimore, MD

Collabera

Sr. Level Facets SME

Baltimore, MD

Configuration build assistance of any required Product changes * Conduct testing and validation analysis of claim testing results for Product changes, accumulator changes and other system changes as ...

Hirekeyz Inc

EDI Systems Support Analyst

Baltimore, MD · On-site

Develop and maintain a configuration management program for all supported applications; * Develop ... Claim process. * Workflow Management Note: Need to share degree or technical certificate for the ...

USM

Locals or Nearby EDI QA Tester

Owings Mills, MD

Requires the ability to define and maintain testing environments and/or configuration. 7. Hands on ... Claim Adjudication process 6. 4+ years of relational database experience including generating ...

All JobsClaim Configuration Analyst JobsClaim Configuration Analyst Jobs in Baltimore, MD

Claim Configuration Analyst information

See Baltimore, MD salary details

$15

$41

$68

How much do claim configuration analyst jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for claim configuration analyst in Baltimore, MD is $41.05, according to ZipRecruiter salary data. Most workers in this role earn between $30.34 and $52.55 per hour, depending on experience, location, and employer.

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 are popular job titles related to Claim Configuration Analyst jobs in Baltimore, MD?

For Claim Configuration Analyst jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Claim Configuration Analyst jobs in Baltimore, MD look for?

The top searched job categories for Claim Configuration Analyst jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Claim Configuration Analyst jobs?

Cities near Baltimore, MD with the most Claim Configuration Analyst job openings:

Claim Configuration Analyst jobs near you
Infographic showing various Claim Configuration Analyst job openings in Baltimore, MD as of August 2026, with employment types broken down into 80% Full Time, and 20% Contract. Highlights an 100% In-person job distribution, with an average salary of $85,388 per year, or $41.1 per hour.

Application Sys Analyst II

University of Maryland Medical System

Columbia, MD • On-site

$333K/yr

Full-time

Re-posted 15 days ago

Job description

Job Requirements
The Epic Resolute Professional Billing (PB) Application Analyst II is responsible for the design, build, testing, implementation, and support of Epic PB applications that support revenue cycle operations. This role directly impacts claim processing, billing accuracy, reimbursement, and overall financial performance.
Core Responsibilities
Application Build & Configuration
  • Design, build, and maintain Epic Resolute PB system components (e.g., charge router rules, workqueues, fee schedules, contracts, and master files)
  • Configure and optimize workflows to support billing operations and regulatory requirements
  • Document build and maintain configuration standards for traceability and quality assurance

Testing & Implementation
  • Develop and execute unit, integrated, and user acceptance testing (UAT)
  • Support environment migrations and validate build during releases and upgrades
  • Participate in go-lives and post-implementation stabilization activities

Operational Support
  • Troubleshoot system issues, analyze root cause, and implement solutions
  • Manage ServiceNow incidents and requests related to PB workflows
  • Provide end-user support and resolve workflow inefficiencies.

Revenue Cycle Optimization
  • Support claims processing, edits, and resolution workflows
  • Assist with denial management and workqueue optimization
  • Identify opportunities to improve automation, throughput, and reimbursement outcomes

Cross-Functional Collaboration
  • Partner with Revenue Integrity, Revenue Cycle Operations, and clinical teams
  • Work with analysts, leadership, and third-party vendors to implement solutions
  • Participate in governance, prioritization, and roadmap discussions

Reporting & Data Support
  • Support reporting tools (e.g., Clarity, Caboodle, SlicerDicer) for billing analytics
  • Assist in developing and validating reports for operational and financial metrics

Work Experience
Required Skills and Experience
  • Epic Resolute Professional Billing certification (or ability to obtain)
  • Experience supporting Epic applications, preferably in PB or revenue cycle
  • Knowledge of healthcare billing workflows (claims, payments, adjustments, denials)
  • Strong analytical, troubleshooting, and problem-solving skills
  • Experience with ticketing systems (e.g., ServiceNow) and project coordination

Benefits
Pay Range: $33.36 - $46.70
Other Compensation (if applicable):
Review the 2024-2025 UMMS Benefits Guide
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