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Claim Configuration Manager Jobs (NOW HIRING)

LIBERTY DENTAL

System Configuration Analyst

Tustin, CA · On-site

Are you energized by solving complex Utilization Management (UM) and claims scenarios while ... Analyze and process complex claim and UM scenarios * Assist with benefit implementation and claims ...

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

Facets configuration analysts with experience in product build and NetworX configuration. Required ... Management, Claim Processing, Billing, Plan/Product, * At least 3 years experience building ...

Healthfirst

AVP Payment Configuration

Manhattan, NY · On-site

... successful claim and benefit configuration, provider onboarding, and maintenance of provider ... records. The incumbent provides strategic leadership and oversight to establish plans and ...

Qualifacts

RCMS Configuration Specialist I

Tampa, FL · On-site +1

Advise on, present, and support RCM-related EHR configurations, including claim setup, payer ... Comprehensive understanding of revenue cycle management systems, billing workflows, payer ...

Qualifacts

RCMS Configuration Specialist I

Tampa, FL · On-site +1

Advise on, present, and support RCM-related EHR configurations, including claim setup, payer ... Comprehensive understanding of revenue cycle management systems, billing workflows, payer ...

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Claim Configuration Manager information

See salary details

$37.5K

$95.9K

$144.5K

How much do claim configuration manager jobs pay per year?

As of Sep 10, 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.

System Configuration Analyst

Tustin, CA • On-site

LIBERTY DENTAL
1 - 10 employees
Learn more about LIBERTY DENTALexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

Key responsibilities

  • Configure, test, and maintain system logic related to claims and Utilization Management (UM).

  • Coordinate, track, and complete claims and UM-related projects, analyze complex claim and UM scenarios, and assist with benefit implementation.

  • Audit and test existing system code rules and benefit setups, and support system testing, analysis, and cross-functional collaboration.

Job description

Configure Systems. Improve Accuracy. Strengthen Outcomes.
Do you thrive at the intersection of claims expertise, system configuration, and cross-functional collaboration? Are you energized by solving complex Utilization Management (UM) and claims scenarios while ensuring systems work exactly as designed? LIBERTY Dental Plan is seeking a System Configuration Analyst to help ensure our claims and UM systems are accurate, efficient, and aligned with benefit design and regulatory expectations.
In this highly collaborative role, you'll partner with Claims, UM, Account Management, Quality Management, Compliance, and IT teams to configure, test, and maintain system logic that directly supports high-quality service delivery and sound operational outcomes.
What You'll Do
You'll support the end-to-end effectiveness of claims and UM system configuration through testing, analysis, and coordination:
  • Coordinate, track, and complete claims and UM-related projects
  • Analyze and process complex claim and UM scenarios
  • Assist with benefit implementation and claims/UM system configuration
  • Coordinate with cross-functional teams to implement and maintain member notifications related to claim and UM decisions and outcomes
  • Support research projects and new business implementations as needed
  • Partner with management to create, update, and maintain departmental policies and procedures
  • Audit and test existing system code rules and provide recommendations for improvement
  • Audit and test new and existing benefit setups related to claims and UM adjudication
  • Support Crystal Report implementation related to claims and UM activities
  • Perform other duties as assigned
What You Bring
Required
  • High School Diploma or GED
  • Minimum of 2 years of experience in PPO and HMO claims processing, billing, and/or auditing
  • Looking for someone with HSP systems knowledge, dental procedure knowledge, HSP denial explanations, Service restrictions, Basic data analytics experience
  • Proficiency with Microsoft Office tools, including Word, Excel, and Access
  • Strong written and verbal communication and presentation skills
  • Advanced analytical skills, including data-mining, reporting, and analysis
  • Ability to reason logically, make sound decisions, and communicate effectively under varied circumstances
  • Ability to multitask and work efficiently with interruptions or competing priorities
Preferred
  • Bachelor's degree
  • Prior auditing experience
Who You Are
You are someone who:
  • Enjoys detailed, systems-focused work and process testing
  • Is comfortable navigating complex benefit and adjudication logic
  • Collaborates effectively across departments with differing priorities
  • Maintains composure and accuracy in fast-paced or high-stress situations
  • Takes pride in producing reliable, well-documented results
Work Environment
  • Primarily remote, office-based work
  • Role involves extensive computer use, data review, and system testing
  • Requires sustained attention to detail and coordination across multiple teams
Ready to Make an Impact?
If you're motivated by precision, collaboration, and improving how claims and UM systems serve members and providers, we encourage you to apply and bring your expertise to LIBERTY Dental Plan.
Location
Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States.
What Liberty Offers
Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity.
Our first-class benefits package supports employees and their dependents with:
  • Competitive pay structure and savings options to help you reach your financial goals.
  • Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines.
  • Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan.
  • 100% employer-paid dental coverage for employees and eligible dependents.
  • Vision insurance with low-cost premiums for employee-only coverage and dependents.
  • Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage.
  • Flexible Spending Accounts for healthcare and dependent care expenses.
  • Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance.
  • Long-term disability coverage.
  • Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts.
  • Employee Assistance Program (EAP) to support mental health and well-being.
  • Generous vacation and sick leave policies, with the ability to roll over unused time.
  • 10 paid company holidays.
  • Tuition reimbursement for eligible educational expenses.
  • Remote or hybrid work options available for various positions.

Compensation
In the spirit of pay transparency, the base salary range for this position is $65,000 - $75,000 a year, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions.
Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth.
Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture.
Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve.
We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.
Sponsorship and Relocation Specifications
Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.
No relocation assistance or sponsorship available at this time.

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