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Claim Configuration Analyst Jobs (NOW HIRING)

Provider Pricing Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

Analyze complex problems pertaining to claim payments, The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments. Provides additional support to ...

We are looking for an experienced Claims Analyst for our Claims department with Community First ... claim issue resolution. Work cooperatively with Configuration in testing of contracts used in ...

Claims Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES Analyze complex problems pertaining to claim payments ... claim issue resolution. Work cooperatively with Configuration in testing of contracts used in ...

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Claim Configuration Analyst information

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How much do claim configuration analyst jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for claim 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 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.
More about Claim Configuration Analyst jobs
What cities are hiring for Claim Configuration Analyst jobs? Cities with the most Claim Configuration Analyst job openings:
What states have the most Claim Configuration Analyst jobs? States with the most job openings for Claim Configuration Analyst jobs include:
Senior Facets Configuration Analyst

Senior Facets Configuration Analyst

Cognizant Technology Solutions

Englewood, CO • On-site

$113K - $132K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago


Cognizant rating

7.4

Company rating: 7.4 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

40th of 58 rated business consultants


Job description

Senior Facets Configuration Analyst
Location: Remote
Employment Type: Full-Time
Job ID: 00068641812
About the role
As a Senior Facets Configuration & Integration Analyst, you will make an impact by supporting the configuration and validation of the Facets core claims platform for a healthcare Proof of Concept (POC). This role focuses on benefits configuration, claims processing alignment, and ensuring expected adjudication outcomes. You will be a valued member of the System Integration team and will collaborate closely with claims, EDI, and testing stakeholders to deliver accurate and reliable claims results.
This is a remote position, open to qualified applicants.
In this role, you will:
  • Configure Facets components to support healthcare claims processing scenarios, including benefits, pricing, rules, and related configuration elements
  • Validate Facets configuration against expected claims adjudication outcomes and parity results
  • Partner with System Integration and EDI teams to ensure Facets configuration aligns with incoming HIPAA transactions (837) and expected remittance outputs (835)
  • Analyze and troubleshoot configuration-related issues impacting claims adjudication, testing, and parity validation
  • Support testing and validation cycles by reviewing end-to-end claim scenarios and outcomes
  • Document configuration approaches, decisions, dependencies, and assumptions to support POC deliverables and downstream teams

Work model
We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position, open to qualified applicants. Regardless of location, we are committed to supporting a healthy work-life balance through our wellbeing programs.
The working arrangements for this role are accurate as of the date of posting and may change based on business or client needs. We will always be clear about role expectations.
What you need to have to be considered
  • Hands-on experience configuring Facets, including benefits, pricing, or claims setup
  • Strong understanding of healthcare claims adjudication processes
  • Healthcare payer experience is required
  • Proven ability to analyze claim scenarios and assess expected vs. actual outcomes
  • Experience supporting system testing, validation, and defect resolution cycles

These will help you stand out
  • Experience supporting system integration initiatives or Proofs of Concept (POCs)
  • Familiarity with HIPAA EDI transactions, including 837 and 835
  • Strong analytical and problem-solving skills with close attention to configuration detail
  • Experience collaborating with cross-functional teams across claims, EDI, and technology

Salary and Other Compensation:
Applicants will be accepted till 7/15/2026
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
The annual salary for this position will be in the range of $113K-$132K depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
  • Medical/Dental/Vision/Life Insurance
  • Paid holidays plus Paid Time Off
  • 401(k) plan and contributions
  • Long-term/Short-term Disability
  • Paid Parental Leave
  • Employee Stock Purchase Plan

Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Our strength is built on our ability to work together. Our diverse backgrounds offer different perspectives and new ways of thinking. It encourages lively discussions, creativity, productivity, and helps us build better solutions for our clients. We want someone who thrives in this setting and is inspired to craft meaningful solutions through true collaboration.
If you are content with ambiguity, excited by change, and excel through autonomy, we'd love to hear from you!
Apply Now!
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About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] for roles based in the Americas or [email protected] for roles based in India.

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