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Provider Pricing Configuration Jobs (NOW HIRING)

University Health

Provider Pricing Analyst

San Antonio, TX · On-site

$19.80 - $31.25/hr

POSITION SUMMARY/RESPONSIBILITIES The Provider Pricing Configuration Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims ...

Sentara

Sr. Configuration Analyst

Richmond, VA · Remote

$10K/mo

Experience with pricing configuration for Commercial plans required * Experience with QNXT preferred but will accept experience with Facets We provide market-competitive compensation packages ...

Sentara

Sr. Configuration Analyst

Richmond, VA · Remote

Experience with pricing configuration for Commercial plans required * Experience with QNXT preferred but will accept experience with Facets We provide market-competitive compensation packages ...

Vaco LLC

Pricing Analyst

Irvine, CA

... by providing pricing analysis and market benchmarks Work with Legal teams to review contract ... configuration, quote generation, and workflow processes Advanced Excel skills including modeling ...

Vaco LLC

Pricing Analyst

Irvine, CA · On-site

... by providing pricing analysis and market benchmarks Work with Legal teams to review contract ... configuration, quote generation, and workflow processes Advanced Excel skills including modeling ...

SoFi

Pricing Analyst, Home Lending

San Francisco, CA · On-site

Collaborate with the Business Unit Leaders in Home Lending to manage pricing margins, provide ... Develop analytical tools to control and validate the accuracy of mortgage pricing configuration and ...

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How much do provider pricing configuration jobs pay per year?

As of Jun 7, 2026, the average yearly pay for provider pricing configuration in the United States is $92,983.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,000.00 and $118,500.00 per year, depending on experience, location, and employer.

What is Provider Pricing Configuration?

Provider Pricing Configuration refers to the process of setting up, maintaining, and updating the fee schedules and reimbursement rates for healthcare providers within an insurance or healthcare management system. This role ensures that providers are paid accurately according to contractual agreements and regulatory guidelines. It involves analyzing contracts, loading rates into systems, and troubleshooting billing or payment discrepancies. Provider Pricing Configuration professionals play a crucial role in supporting accurate claims processing and maintaining compliance with industry standards.

What is the difference between Provider Pricing Configuration vs Insurance Underwriter?

AspectProvider Pricing ConfigurationInsurance Underwriter
CredentialsTypically requires knowledge of healthcare billing, coding, and provider contractsRequires actuarial, risk assessment, and insurance licensing credentials
Work EnvironmentHealthcare organizations, insurance companies, or third-party administratorsInsurance companies, underwriting firms, or risk management departments
Primary FocusSetting and managing provider reimbursement rates and fee schedulesAssessing risk and determining policy terms and premiums
Common UsageHealthcare provider networks and billing systemsInsurance policy issuance and risk evaluation

Provider Pricing Configuration focuses on establishing and managing provider reimbursement rates within healthcare networks, while Insurance Underwriters evaluate risk and set policy terms for insurance products. Both roles require industry-specific knowledge but serve different functions in the insurance and healthcare sectors.

What are some common challenges faced in a Provider Pricing Configuration role, and how can they be addressed?

Professionals in Provider Pricing Configuration often encounter challenges related to interpreting complex contracts and ensuring accurate translation of negotiated rates into pricing systems. Managing frequent updates and regulatory changes while maintaining data integrity is also a key challenge. Success in this role typically requires strong attention to detail, effective communication with both provider relations and IT teams, and continuous learning to stay ahead of system and compliance updates. Collaboration and proactive problem-solving are essential to avoid costly errors and ensure provider reimbursement accuracy.

What are the key skills and qualifications needed to thrive as a Provider Pricing Configuration Specialist, and why are they important?

To excel as a Provider Pricing Configuration Specialist, you need a solid understanding of healthcare reimbursement methodologies, data analysis, and familiarity with provider contracts, usually backed by a degree in healthcare administration, business, or a related field. Experience with claims adjudication systems, configuration management tools, and knowledge of payer/provider pricing software like Facets or QNXT is often required. Attention to detail, problem-solving skills, and effective communication are crucial soft skills for ensuring accurate pricing setups and collaborating with cross-functional teams. These competencies are vital for minimizing errors, ensuring regulatory compliance, and supporting efficient healthcare operations.
Infographic showing various Provider Pricing Configuration job openings in the United States as of May 2026, with employment types broken down into 100% Full Time. Highlights an 90% In-person, 3% Hybrid, and 7% Remote job distribution, with an average salary of $92,983 per year, or $44.7 per hour.

Provider Pricing Analyst

University Health - San Antonio

San Antonio, TX • On-site

Full-time

Posted 2 days ago

Job description

POSITION SUMMARY/RESPONSIBILITIES

The Provider Pricing Configuration Analyst maintains and oversees the loading of provider contracts and fee schedules into claims processing system to ensure claims payment accuracy and consistency. Analyze complex problems pertaining to claim payments,

The Analyst will act as a liaison between the Auditing, Benefits Configuration and Provider Data Departments.  Provides additional support to interdepartmental teams regarding provider pricing. Promote harmonious relationships within own department, with other departments.  Operates under limited supervision.

EDUCATION/EXPERIENCE

Bachelor’s degree in computer science, health care or related field is preferred.  Minimum of one year health care experience may be substituted for college education.  System Configuration or SQL experience is preferred.

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