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Provider Pricing Configuration Jobs (NOW HIRING)

The Director, Configuration provides strategic leadership and direction for the organization ... pricing, and payment methodologies. Vendor & Technology Oversight Lead coordination of business ...

Customer Service Associate

Hickory, NC · On-site

$13 - $18/hr

Provide customers with detailed production specifications, pricing, configuration, and availability information. * Accurately enter complex orders, credits, return authorizations, and order changes ...

Customer Service Associate

Hickory, NC · On-site

$13 - $18/hr

Provide customers with detailed production specifications, pricing, configuration, and availability information. * Accurately enter complex orders, credits, return authorizations, and order changes ...

Customer Service Associate

Hickory, NC · On-site

$13 - $18/hr

Provide customers with detailed production specifications, pricing, configuration, and availability information. * Accurately enter complex orders, credits, return authorizations, and order changes ...

Customer Service Associate

Hickory, NC · On-site

$13 - $18/hr

Provide customers with detailed production specifications, pricing, configuration, and availability information. * Accurately enter complex orders, credits, return authorizations, and order changes ...

Customer Service Associate

Hickory, NC · On-site

$13 - $18/hr

Provide customers with detailed production specifications, pricing, configuration, and availability information. * Accurately enter complex orders, credits, return authorizations, and order changes ...

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Showing results 1-20

Provider Pricing Configuration information

See salary details

$29K

$93K

$152.5K

How much do provider pricing configuration jobs pay per year?

As of Jun 9, 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 88% In-person, 5% Hybrid, and 7% Remote job distribution, with an average salary of $92,983 per year, or $44.7 per hour.
Technical Sr Developer: Guidewire InsuranceNow (ACX)

Technical Sr Developer: Guidewire InsuranceNow (ACX)

Lorven Technologies

Remote

Full-time

Posted 23 days ago


Job description

Technical Sr Developer: Guidewire InsuranceNow (ACX)
Remote- USA
Contract role
Must Have's: Guidewire InsuranceNow, Java, XML, JQuery, API SOAP/REST
Core Responsibilities
Technical Leadership

• Serve as the technical authority for all ACX INOW configuration and enhancements
• Lead configuration and implementation of rate filings, product versions, and underwriting rule changes
• Provide design direction for new features and system enhancements
• Ensure solutions align with architecture, security, and integration standards
• Own technical quality across development lifecycle
InsuranceNow Expertise
• Deep hands-on configuration within Guidewire InsuranceNow (ACX)
• Experience with:
o Ratebook & pricing configuration
o Product model changes
o State-specific filings
o Underwriting workflows
o Business rules and forms configuration
• Ability to assess impacts of product changes across jurisdictions
Cross-Functional Collaboration
• Partner closely with:
o Product Management & Business Analysts
o Business stakeholders
o QA & Release Management
o Architecture & Security
• Translate business requirements into technically sound configurations
• Challenge unclear requirements with confidence and clarity
• Represent technical trade-offs in steering or planning conversations
Delivery & Quality Ownership
• Review designs, configuration changes, and code
• Guide defect remediation strategy
• Support UAT and production readiness
• Ensure release quality and stability
• Establish and enforce unit testing standards for all relevant code changes
Mentorship & Capability Building
• Establish best practices for documentation, configuration governance, and review processes
Required Qualifications
• 7+ years of Property & Casualty insurance systems experience
• 5+ years hands-on Guidewire InsuranceNow (ACX) experience
• Demonstrated experience implementing:
o Rate filings
o Multi-state product changes
o Underwriting configuration
o Product versioning within InsuranceNow
• Strong understanding of Personal, Commercial Lines domain and UW, Claims and Billing
• Experience leading small delivery teams or pods
• Onshore U.S.-based resource (required)
• Exceptional communication skills with ability to engage technical and non-technical audiences
• Confident, assertive presence in cross-functional discussions
Preferred Qualifications
• Experience in multi-state regulatory filings
• Familiarity with InsuranceNow API integrations
• Experience working in Agile pod-based delivery models
• Background working with distributed or vendor teams
• Prior mentorship or succession-planning experience
Key Attributes
We are looking for someone who:
• Is comfortable being the strongest technical voice in the room
• Pushes back constructively when needed
• Can simplify complex technical concepts for business partners
• Understands both configuration detail and system-wide impact
• Brings structure and technical discipline to a growing pod
• Takes ownership rather than waiting for direction
Success Metrics
• High-quality feature releases with minimal post-production defects
• Strong alignment between product requirements and technical implementation
• Improved documentation and configuration governance
• Successful transition/mentorship of internal Technical Lead successor
• Increased confidence from Underwriting & Product stakeholders

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About Lorven technologies

Sourced by ZipRecruiter

Lorven Technologies, headquartered in Plainsboro, New Jersey, United States, is a reputable company in the technology industry, specializing in providing effective IT solutions and consulting services. The company's official website, lorventech.com, offers comprehensive insights into its offerings which include but are not limited to software development, IT consulting, project management, and business analysis. Since its inception, Lorven Technologies has been committed to ensuring efficiency and reliability in delivering IT services to its global clientele, establishing itself as a trusted name in the industry.

Industry

It services

Company size

51 - 200 Employees

Headquarters location

Plainsboro, NJ, US

Year founded

2001

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