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How much do senior benefit configuration analyst jobs pay per year?

As of Aug 22, 2026, the average yearly pay for senior benefit configuration analyst in the United States is $85,750.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $94,500.00 per year, depending on experience, location, and employer.

What is a senior benefit configuration analyst?

Senior Benefit Configuration Analysts are professionals who specialize in setting up and maintaining the rules, logic, and structures that govern employee benefits within insurance or healthcare systems. They analyze complex benefit plan designs, configure systems to accurately reflect these plans, and troubleshoot issues related to benefit administration. Their role often involves collaborating with IT, business teams, and clients to ensure that benefit configurations meet regulatory and contractual requirements. Senior analysts also mentor junior team members and help manage larger projects due to their experience.

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

To thrive as a Senior Benefit Configuration Analyst, you need in-depth knowledge of healthcare benefit structures, claims processing, and a bachelor's degree in a related field. Expertise with benefit configuration software (such as Facets or QNXT), SQL, and familiarity with regulatory compliance are typically required. Strong analytical thinking, attention to detail, and effective communication help ensure accurate plan setup and issue resolution. These skills are crucial to maintain benefit accuracy, minimize errors, and support efficient claims adjudication in a highly regulated industry.

What are some common challenges faced by senior benefit configuration analysts, and how can they be addressed in a fast-paced environment?

Senior Benefit Configuration Analysts often encounter challenges such as managing complex benefit plan designs, keeping up with frequent regulatory changes, and ensuring accuracy under tight deadlines. These challenges can be addressed by maintaining strong attention to detail, leveraging robust documentation practices, and collaborating closely with cross-functional teams like IT, compliance, and client services. Staying current with industry trends and participating in regular training can also help analysts remain effective and minimize errors in a dynamic health insurance environment.
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Senior Benefit Configuration Analyst jobs near you
Infographic showing various Senior 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 $85,750 per year, or $41.2 per hour.

QNXT Benefit Configuration Analyst

Techvilla Solutions

Williamsbridge, NY • Remote

Full-time

Medical

This job post has expired 1 day ago. 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. 

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