Configuration Analyst II

Healthcare Management Administrators

. Perform system configuration and validation for new and renewing clients .

Posted 11/10/2026full-timeRemote • United StatesMid-LevelSenior💰 $108,000 - $120,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Health Plan Configuration, including the ability to analyze benefit documents and translate them into system rules. Proficient in troubleshooting configuration issues and validating system outputs while ensuring compliance with relevant regulations.

Highest-signal resume keywords

Health Plan Configuration ExperienceUnderstanding Of Self-Funded Plan StructuresSQL Query CreationRegulatory Compliance KnowledgeBenefit Document Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Health Plan ConfigurationBenefit Document AnalysisSQL Query CreationTroubleshooting Configuration IssuesSystem ValidationClaims Adjudication LogicBenefit Design RecommendationsWorkflow DocumentationEOB Setup AuditingPeer-To-Peer Audits

Soft Skills

Clear Communication SkillsInterpersonal SkillsCollaborationTraining And EducationStatus Update Communication

Tools & Technologies

Claims PlatformsHRP SystemsSSO ToolTechOps Support Tickets

Industry Keywords

Affordable Care ActMental Health ParityIRS RulesPlan TypesAccumulatorsStop-LossEmployer-Specific Plan Variations

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Perform system configuration and validation for new and renewing clients
Collaborate with business partners to gather and clarify requirements
Review prior benefit plans and recommend system capabilities, regulatory requirements, and benefit designs for new group implementations
Present benefit design recommendations to new clients
Configure benefits into the claims system and prepare corresponding end-user documentation
Create claims-system benefit configuration revisions and documentation for renewing clients and off-cycle benefit changes
Document workflows, configuration decisions, and process updates
Troubleshoot configuration issues and recommend solutions
Review change requests for completeness and alignment with existing processes
Provide Plan Configuration Analyst training and education and assist in developing training materials
Communicate status updates and risks to senior analysts and the Plan Configuration Manager
Review and respond to applicable TechOps Support tickets and BPO claims queries
Manage the SSO tool for non-preferred PBMs
Conduct peer-to-peer audits for claims-system configuration
Set up BlueCard requirements with a Level III analyst, including CHP negotiations, CBF payments, PAR requests, and plan-prefix setup
Work with Finance to conduct EOB setup auditing
Participate in code categorization decisions and lead reviews of annual compliance requirements related to preventative services
Participate in department and company-wide projects

Requirements

What you’ll need

High school diploma or equivalent experience required
3-5+ years of recent relevant Health Plan Configuration experience
Comprehensive understanding of administered benefits and different plan types
Understanding of self-funded plan structures, accumulators, stop-loss, and employer-specific plan variations
Ability to analyze benefit documents (SPDs, plan summaries) and translate them into system rules
Understanding of regulations impacting benefit design, including the Affordable Care Act, Mental Health Parity, and IRS rules related to high-deductible health plan administration
Experience troubleshooting configuration issues and validating system outputs
Growing familiarity with claims platforms or HRP systems used by TPAs
Clear and effective verbal and written communication skills
Strong interpersonal skills and ability to work with team members at all levels
Ability to create and run SQL queries recommended
Ability to analyze and understand medical claims adjudication logic
Background screen required prior to employment

Benefits

Comp & perks

Seventeen (IC) days paid time off (individual contributors)
Eleven paid holidays
Two paid personal and one paid volunteer day
Company-subsidized medical, dental, vision, and prescription insurance
Company-paid disability, life, and AD&D insurances
Voluntary insurances
HSA and FSA pre-tax programs
401(k)-retirement plan with company match
Annual $500 wellness incentive and a $600 wellness reimbursement
Remote work and continuing education reimbursements
Discount program
Parental leave
Up to $1,000 annual charitable giving match
Flexible work schedules
Free parking, gym, and refreshments at renovated office
In-person company events, including annual all hands, summer picnic, trivia night, and holiday party
Performance management program supporting career growth opportunities
Performance-based incentive bonus(es)