Configuration Analyst

Job Summary

Supporting a member-centric approach to healthcare, the full-time remote Configuration Analyst will analyze benefit plan documents, build adjudication rules for claims processing, and manage daily configuration inventory queues.

Key responsibilities

• Analyze benefit plan documents to build benefit categories and adjudication rules for claims processing
• Review member accumulators and assist in loading benefit logic to member and group records
• Support cross-functional teams during implementations and renewals while managing daily configuration inventory queues

Required qualifications

• 2+ years of experience in claims processing, benefit configuration, or related healthcare operations
• Knowledge/experience with level-funded plan designs
• Understanding of benefit plans, accumulators, and basic adjudication concepts
• Ability to set priorities, manage time, and work independently
• Demonstrated success getting results through collaboration