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Health Benefit Configuration Analyst Jobs (NOW HIRING)

Sentara Health Plans

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and ... Knowledge of healthcare claims lifecycle, pricing, and accumulators. Lean Six Sigma or process ...

Sentara Health Plans

NY · On-site

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and ... Knowledge of healthcare claims lifecycle, pricing, and accumulators. Lean Six Sigma or process ...

Wipro Limited

$38K - $83K/yr

Benefit Configuration Analyst - In Office City: Atlanta State/Province: California Posting Start Date: 8/17/26 Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and ...

HealthOne Alliance

Configuration Analyst I

Dalton, GA · On-site

JOB PURPOSE The Configuration Analyst I support activities to maintain data within the core claims ... Disseminates benefit determinations to key stakeholders administering benefits (health services ...

HealthOne Alliance

Configuration Analyst I

Dalton, GA · On-site

JOB PURPOSE The Configuration Analyst I support activities to maintain data within the core claims ... Disseminates benefit determinations to key stakeholders administering benefits (health services ...

SmithRx

Benefits Configuration Analyst

Lehi, UT · On-site

$66K - $78K/yr

... Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit ... As a Benefits Configuration Analyst, you will support cross-functional teams during implementations ...

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

Facets configuration analysts with experience in product build and NetworX configuration. Required ... Experience with Healthcare domain. * Knowledge of claims and how that goes into product and benefit ...

Sentara Healthcare Inc

$106K - $176K/yr

Oversee the analysis, design, configuration, implementation, and maintenance of benefit plans ... Bachelor\'s degree in Healthcare Administration, Information Systems, Business Administration, or ...

Sentara Healthcare Inc

NY · On-site

$106K - $176K/yr

Oversee the analysis, design, configuration, implementation, and maintenance of benefit plans ... Bachelor\'s degree in Healthcare Administration, Information Systems, Business Administration, or ...

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Health Benefit Configuration Analyst information

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How much do health benefit configuration analyst jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for health benefit 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 is a health benefit configuration analyst?

Health Benefit Configuration Analysts are professionals who specialize in setting up, maintaining, and troubleshooting health insurance plan benefits within administrative systems. They interpret benefit documents, translate plan designs into technical specifications, and ensure that benefits are accurately configured for claims processing. Their work helps ensure that members receive the correct coverage and that claims are processed according to plan rules. They often collaborate with IT, business teams, and healthcare providers to resolve issues and implement benefit updates.

What are the key skills and qualifications needed to thrive as a health benefit configuration analyst?

To thrive as a Health Benefit Configuration Analyst, you need strong analytical skills, attention to detail, and a background in healthcare or health insurance, often supported by a relevant degree. Proficiency with claims processing systems, benefit configuration tools (such as Facets or QNXT), and experience with SQL or similar databases are typically required. Excellent problem-solving abilities, communication skills, and the capacity to work collaboratively are valuable soft skills. These competencies are crucial for accurately configuring benefits, ensuring compliance, and supporting efficient healthcare operations.

What are the typical challenges faced by a health benefit configuration analyst when implementing new plan designs?

A Health Benefit Configuration Analyst often encounters challenges such as interpreting complex plan documents, ensuring regulatory compliance, and translating benefit requirements into system configurations without errors. Collaborating closely with cross-functional teams like product managers, IT, and quality assurance is essential to clarify requirements and resolve discrepancies. Attention to detail and effective communication are key to managing tight deadlines and preventing costly configuration mistakes that could impact claim processing or member experience.

What is the difference between Health Benefit Configuration Analyst vs Benefits Coordinator?

AspectHealth Benefit Configuration AnalystBenefits Coordinator
Primary FocusConfiguring and maintaining health benefit plans in systemsAdministering employee benefits and assisting employees
Required SkillsData analysis, benefits systems, attention to detailCommunication, customer service, benefits knowledge
Work EnvironmentHR or benefits department, often in corporate settingsHR department, employee-facing roles
CertificationsBenefits administration certifications often preferredBenefits administration certifications often preferred

The main difference is that the Health Benefit Configuration Analyst focuses on setting up and maintaining health benefit systems, while the Benefits Coordinator handles employee inquiries and benefits administration. Both roles require benefits knowledge and may share certifications, but their daily tasks and focus areas differ.

What are popular job titles related to Health Benefit Configuration Analyst jobs?

For Health Benefit Configuration Analyst jobs, the most frequently searched job titles are:

Infographic showing various Health Benefit Configuration Analyst job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 77% Full Time, 16% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

Sr. Benefit Configuration Analyst

Doral, FL • On-site, Remote

Sentara Healthcare
Hospitals • 10K+ employees
Learn more about Sentara Healthcareexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

495th of 898 rated healthcare providers

Job description

City/State
Doral, FL
Work Shift
First (Days)
Overview:
Overview
The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance. This role works closely with Product, Compliance, IT, Network and Claim's teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements.
The senior analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance.
Education
  • Bachelor's Degree (Required)

Certification/Licensure
  • No specific certification or licensure requirements

Experience
  • Required to have 7+ years of hands-on QNXT benefit configuration experience, preferably in a managed care or health plan environment.
  • Required to have strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration.
  • Required to have proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting.
  • Required to have experience with CMT and QCS tools for version management, configuration migrations, and build monitoring.
  • Required to have strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans.
  • Required to have excellent analytical, organizational, and problem-solving skills, strong written and verbal communication including technical documentation. Excellent interpersonal skills and team oriented.

Preferred Qualifications
  • Familiarity with implementation methodologies for new products or market launches.
  • Knowledge of healthcare claims lifecycle, pricing, and accumulators.
  • Lean Six Sigma or process improvement background is a plus.

We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: 69,867.20 - 116,438.40. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Keywords: QNXT, Benefit Configuration, SQL Server, CMT, QCS tools, Medicare, Medicaid, ACA, Commercial plans, lean six sigma, LSS, process improvement, QNXT system architecture, QNXT benefit configuration
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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