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Provider Configuration Analyst Jobs (NOW HIRING)

Draper

Configuration Analyst

Cambridge, MA · On-site +1

$82K - $220K/yr

... provide. Our multidisciplinary teams of engineers and scientists work in a collaborative ... Summary: The Configuration Analyst assists configuration analysts in managing and controlling ...

Draper

Configuration Analyst

Cambridge, MA · On-site

$82K - $220K/yr

... provide. Our multidisciplinary teams of engineers and scientists work in a collaborative ... Summary: The Configuration Analyst assists configuration analysts in managing and controlling ...

RevSpring, Inc.

Configuration Analyst

Nashville, TN · On-site

Configuration Analyst (Multiple Positions) Key Responsibilities: * Configure customer web ... Engage in direct communication with customers to gather feedback, clarify requirements, and provide ...

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Provider Configuration Analyst information

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$15

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How much do provider configuration analyst jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for provider 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 provider configuration analyst?

Provider Configuration Analysts are professionals who ensure that healthcare provider information is accurately set up and maintained within health plan systems. Their work involves analyzing, inputting, and updating provider data such as demographics, specialties, and network affiliations to support claims processing, provider directories, and member services. They serve as a bridge between healthcare providers, IT teams, and insurance operations to resolve data discrepancies and maintain compliance with regulations. Strong attention to detail, analytical skills, and knowledge of healthcare systems are essential in this role.

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

To thrive as a Provider Configuration Analyst, you need strong analytical skills, attention to detail, and a background in healthcare administration or information systems. Experience with provider data management platforms, claims processing systems, and proficiency in software such as Excel or SQL is typically required. Strong problem-solving, communication, and organizational skills help you effectively manage complex data and collaborate across departments. These competencies are crucial for ensuring accurate provider data, compliance, and seamless healthcare operations.

What are some common challenges faced by provider configuration analysts, and how can they be addressed?

Provider Configuration Analysts often encounter challenges related to interpreting complex healthcare plan requirements and ensuring accurate setup of provider data within claims processing systems. These challenges can be addressed by maintaining open communication with cross-functional teams such as network management and IT, and by utilizing detailed documentation to minimize errors. Staying up to date with regulatory changes and regularly auditing configurations also help ensure compliance and data integrity. Adopting a proactive approach to troubleshooting and continuous learning can make the role more manageable and rewarding.

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

AspectProvider Configuration AnalystProvider Data Analyst
Required CredentialsBachelor's degree in healthcare, IT, or related field; certifications like HCISPP or HIPAA compliance are commonBachelor's degree in healthcare, data analysis, or related field; certifications like CPC or healthcare data certifications are common
Work EnvironmentHealthcare organizations, insurance companies, or health IT vendorsHealthcare providers, insurance companies, or health data firms
Employer & Industry UsageUsed in health plans, provider networks, and health IT systemsUsed in healthcare analytics, reporting, and data management teams

The Provider Configuration Analyst focuses on setting up and maintaining provider data within health IT systems, ensuring accurate configuration for billing and claims. In contrast, the Provider Data Analyst primarily analyzes provider data to support decision-making, reporting, and data quality. Both roles require healthcare knowledge and data skills but differ in their core responsibilities and focus areas.

What degree do you need to be a provider configuration analyst?

A provider configuration analyst typically needs at least a bachelor's degree in health administration, healthcare management, information technology, or a related field. Relevant skills include data analysis, familiarity with healthcare systems, and knowledge of industry regulations; some roles may prefer or require certifications in healthcare or data management. Educational requirements can vary depending on the employer and specific job responsibilities.
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Provider Configuration Analyst jobs near you
Infographic showing various Provider Configuration Analyst job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 76% Full Time, 15% Part Time, and 6% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

Provider Configuration Analyst

MetroPlusHealth

Manhattan, NY • Remote

$85K - $95K/yr

Full-time

Posted 8 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

273rd of 312 rated insurance

Job description

Position Overview

The Core Operations Manager is responsible for evaluating operational processes and procedures for improvement of MetroPlusHealth Core Systems and Applications. This role will work with Provider Contracting, Credentialing, Claims Operations, Utilization Management, Network Management, as well as internal and external stakeholders to set up systems to ensure department and broader business needs are met.

Scope of Role & Responsibilities

  • Track and advise on performance related to Core systems and vendors, including claims processing, provider setup, benefit configuration, and AP workflows.
  • Manage and support business initiatives related to Core systems in accordance with corporate budgetary objectives.
  • Ensure initiatives and any problem resolutions related to Core systems stay on track using platforms like Jira and ServiceNow.
  • Review SLA performance and escalate concerns to leadership or vendor management teams.
  • Direct and conduct communication between business units and Core system vendors on shared objectives and alignment.
  • Participate and advise in new business and operational initiatives and provide guidance on current and future system capabilities.
  • Collaborate with Claims Operations, Utilization Management, and Network Management to obtain and understand use cases for systems configuration methodologies.
  • Identify operational inefficiencies and present improvement opportunities to the appropriate leaders.
  • Track and coordinate response to provider/State complaints.
  • Maintain visibility into system edits and collaborate with internal teams to advise on needed adjustments.

Required Education, Training & Professional Experience

  • Must have a bachelor’s degree in one of the following: Information Systems/MIS, Computer Science or Software Engineering, Health Information Management, or Business Administration (Operations, IT, or Healthcare focus)
  • Must have at least 5-7 years’ experience in healthcare systems, specifically with a background in healthcare payer systems such as claims processing and benefit configuration, provider data management, and systems testing/migration
  • Project Management and Staff Supervision a plus

Professional Competencies 

  • Integrity and Trust
  • Customer Focus
  • Functional/Technical skills
  • Written/Oral Communication

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