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Remote Benefit Configuration Analyst information

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How much do remote benefit configuration analyst jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote benefit 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 does a remote benefit configuration analyst do?

A Remote Benefit Configuration Analyst is responsible for setting up, testing, and maintaining employee benefits plans in software systems, typically for health insurance or HR platforms. They analyze plan documents, configure system rules, and ensure accurate benefit administration based on client specifications. Working remotely, they collaborate with clients, internal teams, and sometimes vendors to troubleshoot issues, implement plan changes, and support open enrollment periods. Attention to detail and strong analytical skills are crucial for success in this role.

What skills and qualifications are needed to be a remote benefit configuration analyst?

To thrive as a Remote Benefit Configuration Analyst, you need strong analytical skills, attention to detail, and a background in healthcare benefits administration, often supported by a relevant degree. Familiarity with benefit configuration software such as Facets or QNXT, and proficiency in SQL or other data query tools, are typically required, along with knowledge of HIPAA regulations. Excellent problem-solving abilities, communication skills, and the capacity to work independently are vital soft skills for success in this remote role. These competencies ensure accurate plan setup, regulatory compliance, and efficient communication across teams in a virtual environment.

How does a remote benefit configuration analyst collaborate with cross-functional teams?

As a Remote Benefit Configuration Analyst, you will frequently work with teams such as product management, client services, and IT to interpret and configure complex benefit plan designs. Collaboration often involves virtual meetings, documentation reviews, and testing sessions to ensure benefit configurations align with client requirements and regulatory standards. Clear communication and attention to detail are essential, as misconfigurations can impact claims processing and member experiences. You'll also partner with QA teams to validate system changes before deployment.

What is the difference between Remote Benefit Configuration Analyst vs Remote Benefits Specialist?

AspectRemote Benefit Configuration AnalystRemote Benefits Specialist
Required CredentialsCertifications in benefits administration, HR, or related fields; sometimes a degree in HR or businessSimilar certifications; often a focus on benefits administration and customer service skills
Work EnvironmentPrimarily analytical, working with benefit systems and data managementCustomer-focused, handling employee inquiries and benefits support
Employer & Industry UsageUsed in insurance, healthcare, and large corporations managing benefits setupCommon in HR departments across various industries providing benefits support
Search & Comparison IntentUnderstanding benefits system configuration and data managementAssisting employees with benefits questions and issues

The Remote Benefit Configuration Analyst primarily focuses on setting up and managing benefits data within systems, requiring analytical skills and certifications. In contrast, the Remote Benefits Specialist emphasizes employee support and benefits inquiries. Both roles are essential in benefits administration but differ in their core responsibilities and daily tasks.

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

Infographic showing various Remote Benefit Configuration Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Teterboro, NJ โ€ข Remote

Full-time

Medical

This job post hasย expired today.ย 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.