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Healthcare Configuration Analyst Jobs (NOW HIRING)

Techvilla Solutions

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design ... Analyze business requirements and translate them into detailed configuration specifications.

Techvilla Solutions

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design ... Analyze business requirements and translate them into detailed configuration specifications.

Techvilla Solutions

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design ... Analyze business requirements and translate them into detailed configuration specifications.

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Healthcare Configuration Analyst information

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How much do healthcare configuration analyst jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for healthcare 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 are the key skills and qualifications needed to thrive as a healthcare configuration analyst?

To thrive as a Healthcare Configuration Analyst, you need strong analytical abilities, attention to detail, and a solid understanding of healthcare benefits, claims, and business processes, usually supported by a bachelor's degree in a related field. Experience with healthcare configuration tools, claims management systems, and familiarity with platforms like Facets or QNXT are typically required, along with knowledge of HIPAA regulations. Excellent problem-solving, communication, and teamwork skills help you effectively coordinate with IT, business, and clinical teams. These skills ensure accurate system configuration, compliance, and smooth implementation of healthcare solutions, directly impacting patient care and operational efficiency.

What are some common challenges faced by healthcare configuration analysts when implementing new healthcare systems?

Healthcare Configuration Analysts often encounter challenges such as understanding complex healthcare regulations, ensuring compatibility with existing systems, and managing tight implementation timelines. Collaboration with cross-functional teams, including IT, clinical staff, and vendors, is essential to gather accurate requirements and resolve integration issues. Staying organized and detail-oriented is crucial, as configuration errors can impact patient care and billing. Regular communication and thorough testing help mitigate risks and ensure a smooth rollout.

What is the difference between Healthcare Configuration Analyst vs Healthcare Data Analyst?

AspectHealthcare Configuration AnalystHealthcare Data Analyst
CredentialsTypically requires certifications like Epic, Cerner, or other EHR system trainingOften requires degrees in health informatics, statistics, or related fields; certifications like Certified Health Data Analyst (CHDA) are common
Work EnvironmentWorks primarily within healthcare IT teams, configuring EHR systems and workflowsWorks with large datasets, analyzing healthcare data to identify trends and insights
Employer & Industry UsageHospitals, clinics, healthcare IT vendorsHealthcare providers, research organizations, health insurance companies

The Healthcare Configuration Analyst focuses on setting up and customizing electronic health record systems to ensure optimal workflow and compliance. In contrast, the Healthcare Data Analyst analyzes healthcare data to support decision-making and improve patient outcomes. Both roles require healthcare industry knowledge but differ in technical focus and daily tasks.

What is a healthcare configuration analyst?

A Healthcare Configuration Analyst is a professional responsible for setting up and maintaining healthcare software systems, particularly those related to insurance, claims processing, and benefits administration. They configure system rules and parameters to ensure accurate processing of healthcare transactions and compliance with industry regulations. These analysts work closely with business analysts, IT staff, and clients to implement changes, test configurations, and troubleshoot issues. Their work helps healthcare organizations deliver efficient and accurate services while adapting to regulatory and business requirements.
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What states have the most Healthcare Configuration Analyst jobs?

States with the most job openings for Healthcare Configuration Analyst jobs include:

What job categories do people searching Healthcare Configuration Analyst jobs look for?

The top searched job categories for Healthcare Configuration Analyst jobs are:

Healthcare Configuration Analyst jobs near you
Infographic showing various Healthcare Configuration Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 67% Full Time, 15% Part Time, and 15% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Oakland Gardens, NY • Remote

Full-time

Medical

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

Job description

Position Overview

We are seeking an experienced  QNXT Benefit Configuration Analyst  to support the implementation, enhancement, and maintenance of benefit plans within the  TriZetto QNXT  platform. The ideal candidate will have extensive experience configuring commercial and/or government healthcare products, translating business requirements into system configurations, and collaborating with cross-functional teams to deliver high-quality healthcare solutions.  

The candidate should possess strong knowledge of healthcare payer operations, benefit plan design, claims processing, SQL, and end-to-end testing.

Roles and Responsibilities
  • Configure and maintain benefit plans within the QNXT platform based on business and regulatory requirements. 
  • Configure Service Groups, Restriction Groups, Copay Groups, Coinsurance, Deductibles, Out-of-Pocket Maximums (MOOP), Accumulators, Visit Limits, Authorization Rules, and Benefit Limits. 
  • Configure benefits for Commercial, Medicare Advantage, Medicaid, Exchange, PPO, HMO, POS, EPO, and ASO products. 
  • Analyze business requirements and translate them into detailed configuration specifications. 
  • Collaborate with Business Analysts, Product Owners, Configuration Analysts, Developers, QA, and Business Stakeholders. 
  • Perform impact analysis for new benefit changes, regulatory updates, and annual benefit plan implementations. 
  • Support annual benefit rollovers and Open Enrollment implementations. 
  • Validate benefit configurations using the QNXT Claims module to ensure claims adjudicate correctly. 
  • Develop configuration documentation, design documents, mapping documents, and implementation guides. 
  • Troubleshoot benefit configuration issues and identify root causes. 
  • Support production incidents and resolve benefit configuration defects. 
  • Participate in requirements gathering sessions, JAD sessions, backlog grooming, sprint planning, and release planning. 
  • Work closely with QA teams during SIT, UAT, and regression testing. 
  • Perform SQL queries to validate configuration data, troubleshoot issues, and analyze claim outcomes. 
  • Participate in release deployments and post-production validation activities. 
  • Collaborate with downstream teams supporting Claims, Enrollment, Provider, Finance, EDI, and Customer Service. 
  • Maintain configuration version control using QCS, CMT, or other migration tools. 
  • Ensure compliance with CMS, State Medicaid, and Commercial regulatory requirements. 
Required Qualifications
  • 5+ years of Healthcare Payer experience. 
  • 5+ years of hands-on TriZetto QNXT Benefit Configuration experience. 
  • Strong understanding of healthcare benefit design and claims adjudication. 
  • Experience configuring: 
    • Service Groups 
    • Restriction Groups 
    • Copay Groups 
    • Coinsurance 
    • Deductibles 
    • Accumulators 
    • MOOP 
    • Visit Limits 
    • Prior Authorization Rules 
    • In-Network / Out-of-Network Benefits 
  • Experience with Commercial, Medicare, and Medicaid benefit plans. 
  • Strong SQL skills including: 
  • Experience troubleshooting claims adjudication issues. 
  • Experience validating benefit configurations using test claims. 
  • Ability to read and interpret business requirements and technical documentation. 
  • Strong analytical and problem-solving skills. 
  • Excellent communication and stakeholder management skills. 
Preferred Qualifications
  • Experience with QCS (QNXT Configuration Studio). 
  • Experience with CMT (Configuration Migration Tool). 
  • Experience supporting annual benefit implementations. 
  • Experience with Medicare Advantage and Medicaid Managed Care plans. 
  • Experience with CMS regulations. 
  • Experience working in Agile/Scrum environments. 
  • Experience using Jira, Azure DevOps, or Rally. 
  • Experience supporting large healthcare payer organizations. 

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