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Health Benefit Configuration Analyst Jobs (NOW HIRING)

Avera Health

Configuration Analyst

Sioux Falls, SD · On-site

$63K - $96K/yr

A Brief Overview The Avera Health Plan Configuration Analyst is responsible for the design, implementation, and support of the Epic Tapestry module, which manages health plan administration, benefits ...

IsoTalent

Health Plan Configuration Analyst

Anderson, IN · On-site

$22 - $26/hr

Health Plan Configuration Analyst Location: Anderson, Indiana Our client, a well-established third ... benefits, all backed by a professional, experienced team that leads with speed and care. Come Join ...

Wipro Limited

$38K - $83K/yr

Benefit Configuration Specialist City: Atlanta State/Province: California Posting Start Date: 8/19 ... the analysis and implementation of network database systems; provides technical guidance and ...

Draper

Configuration Analyst

Cambridge, MA · On-site +1

$82K - $220K/yr

... benefits. Our work is very important to us, but so is our life outside of work. Draper supports ... yoga, health and finance workshops, off site social events and discounts to local museums and ...

Draper

Configuration Analyst

Cambridge, MA · On-site

$82K - $220K/yr

... benefits. Our work is very important to us, but so is our life outside of work. Draper supports ... yoga, health and finance workshops, off site social events and discounts to local museums and ...

Draper Inc.

Configuration Analyst

Cambridge, MA · On-site

$82K - $220K/yr

... yoga, health and finance workshops, off site social events and discounts to local museums and ... Explore life at Draper with our unique culture and benefits at draper.com. #J-18808-Ljbffr

Raytheon

Configuration Analyst

Mckinney, TX · On-site

... of a Configuration Analyst, located on-site in McKinney, TX . What You Will Do * Apply and ... Specific benefits are dependent upon the specific business unit as well as whether or not the ...

RTX

Configuration Analyst

Mckinney, TX · On-site

... of a Configuration Analyst, located on-site in McKinney, TX . What You Will Do * Apply and ... Specific benefits are dependent upon the specific business unit as well as whether or not the ...

BAE Systems

Configuration Analyst

Rome, NY · On-site

$72K - $122K/yr

Employee Benefits: At BAE Systems, we support our employees in all aspects of their life, including ... Regular employees scheduled to work 20+ hours per week are offered: health, dental, and vision ...

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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.

Configuration Analyst

Sioux Falls, SD • On-site

Avera Health
Hospitals • 10K+ employees
Learn more about Avera Healthexternal

$63K - $96K/yr

Full-time

Medical, Retirement, PTO

Posted 14 days ago

Job description

Location:
Avera Health Plans
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$63,960.00 - $96,200.00
Position Highlights
Looking for Candidate with Medical Coding background.
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief Overview
The Avera Health Plan Configuration Analyst is responsible for the design, implementation, and support of the Epic Tapestry module, which manages health plan administration, benefits, fee schedules, claims, enrollment, care coordination, clinical/authorizations and provider data. This role ensures that managed care workflows are optimized and aligned with organizational goals, regulatory requirements, and member-centered care initiatives. As a Configuration Analyst you will work closely with clinical, operational, and technical stakeholders to translate complex business needs into efficient system solutions, while maintaining the integrity and performance of Epic applications.
What you will do
  • System Configuration & Optimization: Build, test, implement, and maintain Epic Tapestry components and functional workflows. Converting benefit plan requirements into system configurations, collaborating with other analysts and business leaders, ensuring data accuracy, customizing settings to support payer-provider relationships and supporting the system's ongoing performance. Develop and improve workflows and business processes to improve customer service, decrease operational administrative costs, and improve overall health plan outcomes and quality. Collaborate with Epic and internal teams to implement and test new features and enhancements on a quarterly basis.
  • System Support & Troubleshooting: Provide support for Epic Tapestry-related issues, including performing root-cause analysis, resolution, documentation of results and present business impact analysis for proposed configuration changes. Monitor existing system performance and make configuration recommendations, where appropriate, to maintain acceptable levels of automation in claims adjudication and member enrollment, workflows and accurate claims payment.
  • Stakeholder Collaboration: Partner with internal teams, including health plan business and functional operations teams, Avera system stakeholders for other Epic applications and IT staff, to ensure accurate and compliant system configurations. Work closely with operational teams to interpret functional operating procedures and align system capabilities with operational goals. Provide input on system design to improve efficiency and reduce administrative burden. Collaborate with data integration and reporting teams to ensure data consistency and performance.
  • Requirement Analysis: Uses experience and judgement to plan and accomplish goals; performs a variety of complicated tasks to ensure that the core claims system is configured correctly by reviewing the system components and validating that the configuration aligns to legal plan documents and regulatory requirements. Interpret and analyze plan documents, such as Evidence of Coverage (EOCs), fee or rate schedules, policies, code set changes and translate into technical specifications for the system.
  • Data management: Provides analysis and documentation that supports configuration management, design, requirements traceability, and audit controls needed to meet state and federal regulatory requirements. Work with Epic Chronicles and data models, and understand relevant EDI (Electronic Data Interchange) formats like 834, 837, and 835.

Essential Qualifications
The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Required Education, License/Certification, or Work Experience:
  • Epic Certification - Epic Epic Tapestry certification or required to participate in Epic coursework and pass certification exams within 90 days of hire. within 90 Days
  • Demonstrated critical thinking skills through evaluation, analysis, and creative solutions.
  • Ability to think broadly, identifying and understanding implications to the entire organization including excellent communication, documentation and problem-solving skills.
  • Ability to work independently and as part of a cross-functional team.

Preferred Education, License/Certification, or Work Experience:
  • Bachelor's Bachelor's degree in Healthcare Administration, Information Systems, or related field or Epic Tapestry Certification with 3+ years of experience.
  • 4-6 years Experience with complex system design, preferred experience with claims adjudication platforms or ecosystems, specifically Epic Tapestry.
  • Background and knowledge of Health Plan operations and understanding of health plan processes, systems and regulations including claims processing, benefit configuration, enrollment and provider networks. Including familiarity with CMS regulations, HIPAA and payer-provider contracting.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
  • Experience with Epic Chronicles and data models, Care Management or other related modules.
  • Familiarity with EDI (Electronic Data Interchange) formats (e.g., 834, 837, 835) and integration best practices.
  • Professional and/or facility coding familiarity.

Expectations and Standards
  • Commitment to the daily application of Avera's mission, vision, core values, and social principles to serve patients, their families, and our community.
  • Promote Avera's values of compassion, hospitality, and stewardship.
  • Uphold Avera's standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
  • Maintain confidentiality.
  • Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
  • Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.
  • PTO available day 1 for eligible hires.
  • Up to 5% employer matching contribution for retirement
  • Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org.
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About Avera Health

Sourced by ZipRecruiter

Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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