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Health Plan Configuration Analyst Jobs (NOW HIRING)

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-party administrator of self-funded health plans, is seeking a Health Plan Configuration Analyst to ...

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 ...

Avera Health

Configuration Analyst

Sioux Falls, SD

$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 ...

Clover Health

Senior Strategic Configuration Analyst

$90K - $119K/yr

We are looking for a highly analytical Senior Strategic Configuration Analyst to join our team ... You have 5+ years of experience in Medicare Advantage or healthcare plan configuration, testing, or ...

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Health Plan Configuration Analyst information

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

As of Sep 10, 2026, the average hourly pay for health plan 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 plan configuration analyst?

A Health Plan Configuration Analyst is a professional responsible for setting up and maintaining the systems that support health insurance plans. They configure benefit and provider data, ensure compliance with regulations, and collaborate with IT and business teams to optimize plan functionality. Their work helps ensure that claims are processed accurately and that members receive the correct benefits. This role is vital for smooth healthcare operations and requires strong analytical and technical skills.

What are some common challenges health plan configuration analysts face when implementing new benefit plans?

Health Plan Configuration Analysts often encounter challenges such as interpreting complex benefit designs, ensuring accurate translation of plan documents into system configurations, and managing tight deadlines during open enrollment periods. Collaborating with cross-functional teams like IT, compliance, and operations is essential to resolve ambiguities and prevent errors that could impact member coverage or provider payments. Attention to detail and strong communication skills help analysts navigate these challenges and ensure successful plan implementations.

What are the key skills and qualifications needed to thrive as a health plan configuration analyst, and why are they important?

To thrive as a Health Plan Configuration Analyst, you need strong analytical abilities, attention to detail, and a background in healthcare administration or information systems. Familiarity with claims processing systems, benefits configuration tools (such as Facets or QNXT), and knowledge of healthcare regulations are typically required. Excellent problem-solving skills, communication, and the ability to collaborate across teams help professionals excel in this role. These skills and qualities are crucial for ensuring accurate health plan setup, regulatory compliance, and efficient claims processing.

What is the difference between Health Plan Configuration Analyst vs Health Insurance Underwriter?

AspectHealth Plan Configuration AnalystHealth Insurance Underwriter
CredentialsBachelor's degree in health administration, business, or related field; certifications like CPC or CHC beneficialBachelor's degree in finance, economics, or related; certifications like CPCU or ARM advantageous
Work EnvironmentHealthcare companies, insurance providers, or consulting firmsInsurance carriers, underwriting firms, or brokerage agencies
Job FocusConfiguring health plan options, benefits, and provider networksAssessing risk, setting premium rates, and approving coverage terms
Common TasksData analysis, plan setup, compliance checksRisk assessment, policy evaluation, pricing decisions

The main difference is that a Health Plan Configuration Analyst focuses on setting up and managing health plan details, while a Health Insurance Underwriter evaluates risks and determines policy terms. Both roles require analytical skills and industry knowledge but serve different functions within the insurance process.

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

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

Infographic showing various Health Plan 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.

Health Plan Configuration Analyst

Anderson, IN • On-site

IsoTalent
Business Management Consulting • 51 - 200 employees
Learn more about IsoTalentexternal

$22 - $26/hr

Other

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Health Plan Configuration Analyst

Location: Anderson, Indiana

Our client, a well-established third-party administrator of self-funded health plans, is seeking a Health Plan Configuration Analyst to join their growing team.

Are you the kind of person who loves solving complex puzzles and making sure every detail lines up perfectly? Do you get satisfaction from building systems that quietly keep everything running behind the scenes? If so, this could be the perfect Health Plan Configuration Analyst role for you. Keep scrolling to see what this company has to offer.

The Perks!

  • Compensation: $22 - $26/hourly, based on experience
  • Health, dental, and vision insurance
  • 401(k) with company match
  • HSA option
  • Paid Time Off
  • Paid Holidays
  • Wellness program

A Day in the Life of the Health Plan Configuration Analyst

In this role, you'll build and refine plan structures within the WLT adjudication system, set up new groups, and establish vendor connections that keep everything running smoothly. You'll maintain system tables, load fee schedules, calculate DRG pricing, and troubleshoot claim issues as they arise. Working closely with internal teams, you'll help translate client needs into accurate, compliant health plans that make a real difference for the people who depend on them.

Responsibilities include:

  • Creating and refining plan structures in the WLT adjudication system
  • Setting up new groups and establishing vendor connections
  • Updating existing plans and maintaining system tables
  • Loading fee schedules and calculating DRG pricing
  • Resolving claim processing issues
  • Auditing plan designs and reporting system errors
  • Collaborating with internal departments to interpret client needs and ensure compliance

Requirements and Qualifications:

  • Prior experience with medical insurance or with a third-party administrator
  • Prior experience with plan building and a health plan claims system
  • Experience handling multiple customer accounts, plans, or client-specific configurations at once
  • Ability to troubleshoot claim processing issues
  • Experience reading and interpreting a full health plan document
  • Ability to collaborate across multiple internal departments
  • Strong organizational skills and attention to detail preferred

About the Hiring Company:

Established in 1996, our client is a full-service third-party administrator (TPA) for self-funded group health insurance plans. They're known for combining innovative programs, cutting-edge technology, and trusted partnerships to help control healthcare costs while ensuring access to top-tier benefits, all backed by a professional, experienced team that leads with speed and care.

Come Join Our Plan Building Team!

Start by filling out this 3-minute, mobile-friendly application here. We look forward to hearing from you!

Apply