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Healthcare Benefit Configuration Director Jobs (NOW HIRING)

Knowledge of Benefits Configuration, Claims Adjudication, Eligibility, Enrollment, Provider ... Direct Reports * Individual contributor role with no direct reports. * May lead requirement ...

Core Operations Manager

Manhattan, NY · Remote

$125K - $135K/yr

Direct and conduct communication between business units and Core system vendors on shared ... healthcare payer systems such as claims processing and benefit configuration, provider data ...

Core Operations Manager

Manhattan, NY · On-site

$125K - $135K/yr

Direct and conduct communication between business units and Core system vendors on shared ... healthcare payer systems such as claims processing and benefit configuration, provider data ...

EDI transactions, provider, health plan benefits and member eligibility data, encounters ... health care system configuration knowledge * Experience managing at least six direct reports

Benefits * Cell phone allotment * Bonus eligiblity (based on performance) * Mileage reimbursement ... as a Health Care Director. You will spearhead clinical services such as resident medication ...

EDI transactions, provider, health plan benefits and member eligibility data, encounters ... health care system configuration knowledge * Experience managing at least six direct reports

EDI transactions, provider, health plan benefits and member eligibility data, encounters ... health care system configuration knowledge * Experience managing at least six direct reports

Deep understanding of healthcare payer operations including claims adjudication, member management, benefit configuration, enrollment, and/or contract management * Strong grasp of AI/ML concepts and ...

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The Director of Healthcare is responsible for overseeing the delivery of safe, compassionate, and individualized care to our residents while providing leadership, support, and direction to our ...

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Healthcare Benefits Supervisor

Davis, CA · On-site

$83K - $103K/yr

HM Clause Job Title: Healthcare Benefits Supervisor Job Location: Davis Contract type: Permanent ... You will be a great fit if you have experience similar to: • Manage health and welfare benefit ...

Healthcare Sales Director

Fresno, CA · On-site

$140K - $160K/yr

We are recruiting a Healthcare Sales Director for a growing healthcare organization transforming ... Compensation & Benefits Base salary of $140,000 - $160,000 , with relocation assistance available ...

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Healthcare Benefit Configuration Director information

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$37.5K

$95.9K

$144.5K

How much do healthcare benefit configuration director jobs pay per year?

As of Sep 14, 2026, the average yearly pay for healthcare benefit configuration director 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 are popular job titles related to Healthcare Benefit Configuration Director jobs?

For Healthcare Benefit Configuration Director jobs, the most frequently searched job titles are:

Infographic showing various Healthcare Benefit Configuration Director job openings in the United States as of June 2026, with employment types broken down into 89% Full Time, 10% Part Time, and 1% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $95,935 per year, or $46.1 per hour.

Healthcare Configuration Consultant / Analyst (Facets & SQL)

Mason, OH • Hybrid

$50 - $60/hr

Contractor

Re-posted 17 days ago


Job description

Healthcare Systems Configuration Analyst (FACETS, SQL)

Location: Mason, OH 45040 (Hybrid – 3 days per week onsite - Mason, OH)

Duration: 6 Months with Possible extension

Work Hours: 8:00 AM – 5:00 PM (1-hour break)

Weekly Hours: 40 hours

Experience & Education

  • Experience Required: 6+ years
  • Education: Bachelor’s degree or equivalent work experience (flexible)

ROLE SUMMARY

  • Serve as a Sr. Configuration Analyst on the Business Configuration Solutions team, responsible for enabling member benefit configuration strategies by designing, implementing, and executing configuration solutions.
  • This role is 60% hands-on configuration and 40% cross-functional collaboration, including leading meetings, capturing business requirements, testing execution, and troubleshooting Medicaid product implementations.
  • The analyst will act as a Subject Matter Expert (SME) interfacing with cross-functional teams to deliver system and process solutions using FACETS and supporting automation tools.

Key Responsibilities

  • Serve as a Subject Matter Expert representing the Configuration workstream for large Government Implementations (Medicaid, Medicare, Med/Surgical).
  • Design, build, troubleshoot, and prototype Medicaid products using FACETS.
  • Lead and represent cross-functional meetings to gather and document business requirements.
  • Capture and document business requirements, process flows, and functional specifications.
  • Execute testing, claims validation, and troubleshooting for configuration enhancements.
  • Perform data analysis and validation by removing duplicates, errors, and outliers.
  • Build SQL queries to extract backend data supporting configuration and testing needs.
  • Conduct Fit/Gap Analysis for new client plans and provide configuration feedback.
  • Collaborate with leadership on the Configuration roadmap and automation initiatives.
  • Self-manage workload to meet SLAs and KPIs for project delivery.
  • Maintain strong working relationships with stakeholders across all levels of leadership.

Mandatory Skills (Must Have)

  • FACETS (Healthcare Claims & Benefit Configuration)
  • Healthcare claims understanding / benefit configuration
  • SQL / Database experience
  • Medicaid product configuration experience
  • Strong analytical and problem-solving skills
  • Ability to lead and represent cross-functional meetings
  • Business requirements gathering & documentation
  • Testing execution & claims validation

Tools & Technologies

  • FACETS (Claims testing & configuration)
  • Oracle SQL (Data extraction & validation)
  • Automation tools (Informatica-based, homegrown)
  • Windows OS

Desired / Preferred Qualifications

  • 4+ years of FACETS platform experience
  • Experience with Medical Plan Benefit Configuration
  • Provider Network & Agreement Configuration
  • Strong understanding of Medicare / Medicaid
  • Excellent communication and stakeholder management skills
  • Ability to learn quickly and operate independently in complex environments