Healthcare Configuration & Data Analyst II

SCAN; United States; Remote; USD 72,000 - 104,000; Full time

Benefits offered by this job

Mostly Remote

Annual bonus

Wellness program

Paid time off

Holidays

401(k) plan

Tuition reimbursement

Employee recognition

Job summary

SCAN Health Plan is seeking a Configuration Analyst II to support Benefit Configuration, including Prior Authorization and Pre-Determination code sets, across claims and related systems.

You will collaborate with Medical Policy, Utilization Management, IT, and vendors to ensure accurate configuration, testing, and deployment, while driving data-driven improvements in operations and reporting.

Qualifications

• Bachelor's degree or equivalent in healthcare administration, health information management, information systems, data analytics, business, computer science or related field.
• 2+ years of experience in healthcare systems, operations, analytics, medical coding, utilization management, or related technical functions.
• Experience with reporting, data analysis, SQL, or healthcare data; knowledge of CPT/HCPCS and CMS regulations preferred.

Responsibilities

• Maintains PA and PD code sets across claims, utilization management, and related systems.
• Supports benefit configuration and prior authorization activities, including configuration, testing, validation, deployment, and post-implementation review.
• Analyses data to identify trends, risks, and improvement opportunities; supports continuous improvement.

Skills

SQL

Data analysis

Healthcare operations

Technical problem-solving

Communication

Education

Bachelor's Degree or equivalent

Tools

QNXT

Power BI

ikaSystems

MHK

CareAxis

Job description

SCAN Health Plan is seeking a Configuration Analyst II to support Benefit Configuration, including Prior Authorization and Pre-Determination code sets, across claims and related systems.

You will collaborate with Medical Policy, Utilization Management, IT, and vendors to ensure accurate configuration, testing, and deployment, while driving data-driven improvements in operations and reporting.