Remote Health Plan Config Analyst II

Healthcare Management Administrators; Bellevue (WA); Hybrid; USD 90,000 - 110,000; Full time

Benefits offered by this job

Remote work flexibility

Comprehensive benefits package

Wellness incentives

Job summary

Healthcare Management Administrators (HMA) is seeking a Plan Configuration professional to implement and program client benefit plans. You will set up buy-up products and manage third-party vendor files, ensuring benefits are correctly programmed and services available to members.

The role requires strong analysis of SPDs and plan summaries, experience with health plan configurations, and collaboration with finance and techOps.

Qualifications

• 3-5+ years of recent relevant Health Plan Configuration experience.
• Understanding of self-funded plan structures and regulatory requirements.
• Ability to analyze benefit documents and translate them into system rules.

Responsibilities

• Performs system configuration and validation for new and renewing clients.
• Configures benefits into claims system and prepares end-user documentation.
• Documents workflows and process updates; troubleshoots configuration issues.

Skills

Health plan configuration

SQL queries

Regulatory knowledge

Communication skills

Education

High school diploma or equivalent

Tools

HRP systems

Claims system

Job description

Healthcare Management Administrators (HMA) is seeking a Plan Configuration professional to implement and program client benefit plans. You will set up buy-up products and manage third-party vendor files, ensuring benefits are correctly programmed and services available to members.

The role requires strong analysis of SPDs and plan summaries, experience with health plan configurations, and collaboration with finance and techOps.