Remote Configuration Analyst II, Health Plan Systems

Healthcare Management Administrators; United States; Remote; USD 90,000 - 110,000; Full time

Benefits offered by this job

Remote work

Wellness incentive

401(k) matching

Paid time off

Professional development support

Comprehensive benefits

Job summary

Healthcare Management Administrators seeks a Plan Configuration Analyst to implement and program client benefit plans, including buy-up products and third‑party vendor files for TPAs.

You will translate complex benefit documents into system rules, support new group implementations, and produce training materials while collaborating with finance and technical teams across the US. Strong communication is essential.

Qualifications

• High school diploma or equivalent required.
• 3–5+ years of Health Plan Configuration experience.
• Understanding of self-funded plan structures, stop‑loss, and plan variations.
• Ability to analyze benefit documents and translate into system rules.
• Knowledge of ACA and Mental Health Parity regulations.

Responsibilities

• Performs system configuration and validation for new and renewing clients.
• Translate benefit documents into system rules for configuration.
• Configure benefits into claims/HRP systems and document end‑user procedures.
• Collaborate with finance and IT on annual compliance and audits.
• Provide training materials and guidance to junior analysts.

Skills

SQL queries

Communication skills

Analytical thinking

Teamwork

Healthcare knowledge

Education

High school diploma or equivalent

Tools

SQL databases

TPA claims systems

HRP systems

Job description

Healthcare Management Administrators seeks a Plan Configuration Analyst to implement and program client benefit plans, including buy-up products and third‑party vendor files for TPAs.

You will translate complex benefit documents into system rules, support new group implementations, and produce training materials while collaborating with finance and technical teams across the US. Strong communication is essential.