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Provider Pricing Configuration Jobs (NOW HIRING)

Pricing Analyst

Cambridge, MA · On-site

$72K - $118K/yr

Provide analytical support to the pricing team on quarterly and yearly changes in pricing and packaging for each product line and for each region/market. * Maintain product and pricing configuration ...

Provide analytical support to the pricing team on quarterly and yearly changes in pricing and packaging for each product line and for each region/market. * Maintain product and pricing configuration ...

Provide analytical support to the pricing team on quarterly and yearly changes in pricing and packaging for each product line and for each region/market. * Maintain product and pricing configuration ...

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Provider Pricing Configuration information

See salary details

$29K

$93K

$152.5K

How much do provider pricing configuration jobs pay per year?

As of Sep 10, 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 are the key skills and qualifications needed to thrive as a provider pricing configuration specialist?

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.

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 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.

Infographic showing various Provider Pricing Configuration job openings in the United States as of September 2026, with employment types broken down into 79% Full Time, 4% Part Time, and 17% Contract. Highlights an 75% In-person, 4% Hybrid, and 21% Remote job distribution, with an average salary of $92,983 per year, or $44.7 per hour.

Facets Pricing Configuration Analyst

Dayton, OH • Remote

Synkriom
IT Services • 51 - 200 employees

Contractor

Re-posted 6 days ago


Job description

Company Description

Backed by two decades of hands-on experience, our strong insight on enterprise ecosystem and its dynamics helps to offer complete end-to-end solution and not just Tech Resources. We Automate recruitment process with intelligent solutions to save enormous time and money. Synkriom leads the industry with experience authentication of candidates. Untimely departure of a wrongly recruited candidate costs over 20% of annual salary after factoring onboarding, training, productivity and engagement losses. Our expertise and tools, saves you from these hassles. The ultimate objective is client ROI and working around robust partnership models that we co-create with the client.
Streamlined processes and project management capabilities to operate in today's fast track corporate environment, set us apart. Our resource pool, ranges from standard CRM , Cloud to front end + back end developers as well as data analytics cum networking professionals.
Our strong insight on enterprise ecosystem and its dynamics helps to offer complete end-to-end solutionto power astute HR Management supported by mobile platforms and cloud based tracking solutions fortech resources. Cost per hire is an important factor in strategic planning and budgeting to determine future investments in recruiting tools and increasing company headcount. Our customers vouch for us as we continue to make sure you stick to the top talent by going all out to authenticate the right talent in multiple ways by combining recruiting technology and domain expertise.

Job Description

Job Title: Facets Pricing Configuration Analyst

Location:  Dayton, OH - (8 Positions Remote)

Hire Type: Contact - 6+ Months

Job Roles/Responsibilities

Configure the agreements, Fee Schedules and test making them ready for Implementation.

Healthcare, Facets, Knowledge on Provider Pricing Analysis

SQL, Pricing Configuration

Good Communication skills

Configuring new business on Facets

Configuring Products, providers, agreements and capitation

Facets knowledge along with Pricing/NetworX.

Must Have Skills: Healthcare Facets, Medicaid, Medicare, Facets Pricing Configuration

Qualifications

Any Degree 

Additional Information

All your information will be kept confidential according to EEO guidelines.