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Claim Configuration Manager Jobs (NOW HIRING)

P3 Health Partners

Configuration Manager

Henderson, NV · On-site

$100K - $135K/yr

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Omaha, NE · On-site

Knowledge of CMS claim reporting: ODAG and Part C Experience * + 6 years health care administration ... system configuration knowledge * Experience managing at least six direct reports * Extensive ...

P3 Health Partners

Configuration Manager

Salem, OR · On-site

Knowledge of CMS claim reporting: ODAG and Part C Experience * + 6 years health care administration ... system configuration knowledge * Experience managing at least six direct reports * Extensive ...

P3 Health Partners

Configuration Manager

Tucson, AZ · On-site

$100K - $135K/yr

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

Sky Mavis

Configuration Manager

Salem, OR · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

Sky Mavis

Configuration Manager

Tucson, AZ · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Salem, OR · On-site

$100K - $135K/yr

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Omaha, NE · On-site

$100K - $135K/yr

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

Sky Mavis

Configuration Manager

Henderson, NV · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Omaha, NE · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Tucson, AZ · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners

Configuration Manager

Tucson, AZ · On-site

Knowledge of CMS claim reporting: ODAG and Part C Experience * + 6 years health care administration ... system configuration knowledge * Experience managing at least six direct reports * Extensive ...

P3 Health Partners

Configuration Manager

Salem, OR · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

P3 Health Partners, Inc.

Knowledge of CMS claim reporting: ODAG and Part C Experience * + 6 years health care administration ... system configuration knowledge * Experience managing at least six direct reports * Extensive ...

P3 Health Partners

Configuration Manager

Henderson, NV · On-site

... claim reporting, internal claim reporting and data entry. This role will be responsible for ... about configuration best practices, methodologies and tools * Other tasks assigned by manager ...

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Claim Configuration Manager information

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$37.5K

$95.9K

$144.5K

How much do claim configuration manager jobs pay per year?

As of Sep 9, 2026, the average yearly pay for claim configuration manager in the United States is $95,935.00, according to ZipRecruiter salary data. Most workers in this role earn between $76,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What is a claim configuration manager?

A Claim Configuration Manager is a professional responsible for overseeing the setup and maintenance of claims processing systems, typically within insurance or healthcare organizations. They ensure that claim adjudication systems are accurately configured to meet business rules, regulatory requirements, and client needs. Their work involves collaborating with IT, operations, and compliance teams to implement changes, troubleshoot issues, and optimize system performance. This role is critical for ensuring that claims are processed efficiently and accurately, reducing errors and improving customer satisfaction.

What are the key skills and qualifications needed to thrive as a claim configuration manager?

To thrive as a Claim Configuration Manager, you need expertise in healthcare claims processing, knowledge of benefits administration, and experience with claims adjudication systems, usually supported by a degree in healthcare administration or a related field. Familiarity with technical tools such as Facets, QNXT, or HealthEdge platforms and proficiency in claims configuration and testing processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate across departments and resolve complex configuration issues. These skills ensure accurate claims processing, regulatory compliance, and smooth operational workflows in healthcare organizations.

What are some common challenges faced by a claim configuration manager, and how can they be addressed?

Claim Configuration Managers often encounter challenges such as keeping up with frequent changes in insurance regulations, maintaining accurate claim system configurations, and ensuring seamless integration between multiple platforms. To address these, it's important to develop strong cross-functional relationships with IT, compliance, and operations teams, and to implement robust change management processes. Staying proactive with regular training and leveraging automation tools can also help minimize errors and maintain compliance, ultimately leading to more efficient claim processing.

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

AspectClaim Configuration ManagerClaims Analyst
Required CredentialsBachelor's degree in business, finance, or related field; industry certifications preferredBachelor's degree in finance, accounting, or related field; certifications like CPC or similar beneficial
Work EnvironmentTypically in management settings, overseeing configuration teams or systemsOften in office settings, analyzing claims data and processing claims
Employer & Industry UsageInsurance companies, third-party administrators, healthcare providersInsurance firms, healthcare organizations, claims processing centers

The Claim Configuration Manager focuses on setting up and managing claim processing systems, ensuring configurations meet policy requirements. In contrast, Claims Analysts primarily analyze and process individual claims, verifying accuracy and compliance. Both roles are essential in the claims process but differ in scope and responsibilities.

What are popular job titles related to Claim Configuration Manager jobs?

For Claim Configuration Manager jobs, the most frequently searched job titles are:

Infographic showing various Claim Configuration Manager job openings in the United States as of September 2026, with employment types broken down into 87% Full Time, 12% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $95,935 per year, or $46.1 per hour.

Configuration Manager

Henderson, NV • On-site

P3 Health Partners
Health Care and Social Assistance • 51 - 200 employees
Learn more about P3 Health Partnersexternal

$100K - $135K/yr

Full-time

Medical

Re-posted 7 days ago

Key responsibilities

  • Coordinate and supervise the daily, weekly, and monthly activities of team members to ensure task completion and performance goals are met.

  • Respond to configuration escalations and provide system configuration support to the team.

  • Document and communicate the status of system configuration to stakeholders as needed.

P3 Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Overall Purpose
The main functions of this position are responsible for leading, coaching and guiding staff that implement, support, and maintain the core administrative system configuration including but not limited to: EDI transactions, provider, health plan benefits and member eligibility data, encounters submissions and reconciliations, CMS/health plan claim reporting, internal claim reporting and data entry. This role will be responsible for continuing to enhance the vision, value proposition, services for the configuration function and develop and align the staff in place to deliver against these services.
Essential Functions
  • Coordinate and supervise daily/weekly/monthly activities of a team members including setting priorities for the team to ensure task completion and performance goals are met
  • Respond configuration escalations
  • Provide coaching, feedback, and annual performance reviews as well as formal corrective action
  • Manage inventory and performance to business metrics
  • Write and Submit P&P update requests
  • Provide expertise or general system configuration support to team in reviewing, researching, investigating, system configuration
  • Support team employee engagement
  • Communicate and collaborate with internal and external business partners
  • Document and communicate status of system configuration to stakeholders as needed
  • Achieve applicable performance metrics (productivity, quality, TAT, utilization)
  • Advanced problem solving, critical thinking, and process analysis skills to lead teams responsible for client configuration
  • Understanding of the healthcare industry, including competitors, the regulatory environment, and industry trends
  • Ability to provide strategic leadership and demonstrate the ability to develop future-state scenarios, create a vision for the future, defines factors needed to achieve success, and key actions required.
  • Demonstrated leadership skills having lead configuration activity or function, knowledgeable about configuration best practices, methodologies and tools
  • Other tasks assigned by manager

Knowledge, Skills and Abilities
  • Must have a strong understanding of any local, state and federal rules regarding the adjudication of medical benefits
  • Strong organizational and time management skills with the ability to prioritize individual workloads.
  • Proficient in MS Office with strong computer skills (e.g. multiple systems experiences, keyboarding skills, Microsoft word, Power Point)
  • Strong knowledge of CPT, HCPCS, ICD-10, DRG and APC coding and CMS Guidelines.
  • Ability to drive performance management
  • Ability to interpret electronic data interchange preferred
  • Knowledge of CMS EDI file and submission protocols
  • Knowledge of CMS claim reporting: ODAG and Part C

Experience
  • + 6 years health care administration operational experience
  • 5 years of health care operations and health care system configuration knowledge
  • Experience managing at least six direct reports
  • Extensive experience in plan building, provider data maintenance and reimbursement methodologies including fee schedules, contract management and workflow processes.
  • Experience analyzing and identifying trends preferred

Education
  • High school diploma or GED required
  • Bachelor's degree preferred

Work Location & Schedule
This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.
Pay range: $100,000-135,000 depending on experience
About P3
People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients. We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization, then you should consider joining our team.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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