Senior Benefits Config Analyst - $90K-$110K at HMA

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

Benefits offered by this job

Remote work

17 days PTO

11 paid holidays

Two paid personal days and one paidvol

Medical, dental, vision insurance

Disability, life, and AD&D insurances

HSA and FSA pre-tax programs

401(k) with company match

Wellness incentive and reimbursement

Continuing education reimbursements

Parental leave

Charitable giving match

Job summary

Healthcare Management Administrators is seeking a Senior Benefits Config Analyst to design and validate health plan configurations within claims systems. The role blends healthcare operations with technical configuration, and is remote across US.

You will configure benefits, validate outputs, and collaborate with vendors and internal teams to ensure regulatory compliance (ACA, Mental Health Parity, IRS rules). A mid-to-senior IC path with potential for advancement awaits.

Qualifications

• High school diploma or equivalent required.
• 3–5+ years of Health Plan Configuration experience.
• Understanding ACA, Mental Health Parity, and IRS rules for HDHPs.
• Experience troubleshooting configuration issues and validating system outputs.
• Ability to write and analyze SQL queries for configuration validation.

Responsibilities

• Performs system configuration and validation for new and renewing clients.
• Collaborates with business partners to gather and clarify requirements.
• Reviews benefit plans and recommends new group implementations considering regulatory requirements.
• Configures benefits into the claims system and prepares end-user documentation.
• Creates configuration revisions and documentation for renewing clients and off-cycle changes.
• Documents workflows and process updates; troubleshoots issues and suggests solutions.
• Reviews change requests for completeness and alignment with processes.
• Participates in training and education for Plan Configuration Analysts.
• Communicates status and risks to senior analysts and the Plan Configuration Manager.

Skills

Benefits configuration

Regulatory compliance

SQL queries

BlueCard

Vendor management

Education

High school diploma or equivalent

Tools

Claims adjudication systems

SSO tools

HRP systems

Job description

Senior Benefits Config Analyst - $90K-$110K at HMA — Remote

Location Remote

Compensation vs. Market: The $90,000–$110,000 range for a mid-level Health Plan Configuration Analyst is competitive. Industry benchmarks for this niche TPA/health plan configuration role typically fall between $75,000–$115,000 depending on experience and geography. The Seattle-area anchor is generous; remote employees in lower-cost states may find this especially attractive. Performance bonuses add further upside.

Skills This Role Develops: This position builds a rare and in-demand specialization at the intersection of healthcare operations and technical systems. Key skills include:

• Benefits plan configuration in claims adjudication systems (highly transferable across TPAs and health insurers)
• Regulatory compliance knowledge (ACA, Mental Health Parity, HDHP/IRS rules)
• SQL querying and data validation — growing in demand across health tech
• BlueCard and cross-payer network administration
• Vendor management (PBMs, SSO tools, third-party file management)

Career Trajectory: The mention of "Level III analyst" and "Plan Configuration Manager" roles within the posting signals a defined career ladder. This role sits at a mid-to-senior individual contributor level with a path toward management or senior technical specialization.

Culture Signals: Four consecutive "Best Workplaces" awards, pay transparency, and a generous benefits package are strong green flags. The company appears to be a mid-size, stable organization (not a high-risk startup). The tone is values-driven without being overly corporate.

Potential Considerations: The role's niche focus on TPA systems may limit portability to fully non-healthcare employers. However, demand for health plan operations talent remains strong given ongoing regulatory complexity in US healthcare.

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service.

We are proud to say that for four years, HMA has been chosen as a 'Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, 'Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results.

What we are looking for: We are always searching for unique people to diversify our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven.

What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: https://www.accesshma.com/

How YOU will make a Difference:

This role is responsible for the successful implementation and programming of client benefit plans, setting up buy-up products for clients, and managing third-party vendor files. The importance of this role is to ensure benefits are correctly programmed and product services are readily available for members.

What YOU will do:

• Performs system configuration and validation for both new and renewing clients.
• Collaborates with business partners to gather and clarify requirements.
• Reviews prior benefit plans and makes recommendations for new group implementations, such as system capabilities and regulatory requirements, benefit design recommendations, and presents to new clients.
• Configures benefits into our claims system and prepares corresponding end-user documentation for new group implementations, as needed.
• Creates claim system benefit configuration revisions and prepares corresponding end-user documentation for renewing clients and implementation of off-cycle benefit changes.
• Documents workflows, configuration decisions, and process updates.
• Troubleshoots configuration issues and recommends solutions.
• Reviews change requests for completeness and alignment with existing processes.
• Provides Plan Configuration Analyst training/education and assists in developing training materials.
• Communicates status updates and risks to senior analysts and Plan Configuration Manager.
• Reviews and responds to applicable TechOps Support tickets and BPO claims queries as needed.
• Manages the SSO tool for non-preferred PBMs.
• Conducts peer-to-peer audit for claims system configuration.
• In conjunction with Level III analyst, sets up BlueCard requirements — including negotiations with CHP (Consortium Health Plans), processing of CBF (Capitated Billing Format) payments, PAR requests, and plan prefix setup.
• Works with the Finance team to conduct EOB setup auditing, as needed.
• Participates in code categorization decisions and leads review of annual compliance requirements related to preventative services.
• Participates in various department and company-wide projects as needed.

Knowledge, Experience, and Key Attributes needed for Success:

• High school diploma or equivalent experience required
• 3–5+ years of recent relevant Health Plan Configuration experience
• Comprehensive understanding of benefits administered and different plan types
• Understanding of self-funded plan structures, accumulators, stop-loss, and employer-specific plan variations
• Strong ability to analyze benefit documents (SPDs, plan summaries) and translate them into system rules
• Strong understanding of regulations that impact benefit design, including the Affordable Care Act, Mental Health Parity, and IRS rules related to administration of high-deductible health plans
• 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

Compensation

The base salary for this position in the greater Seattle area is $90,000–$110,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) are available.

In addition, HMA provides a generous total rewards package for full-time employees that includes:

• Seventeen (IC) days paid time off (individual contributors)
• Eleven paid holidays
• Two paid personal days 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
• Parental leave
• Up to $1,000 annual charitable giving match

How we Support your Work, Life, and Wellness Goals

At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work‑life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in‑person events throughout the year including an annual all‑hands, summer picnic, trivia night, and a holiday party.

We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.)

HMA requires a background screen prior to employment.

Protected Health Information (PHI) Access: Healthcare Management Administrators (HMA) employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need‑to‑know basis and according to HMA's standard policies and procedures.

Is this Health Plan Configuration Analyst role fully remote? Yes, HMA offers the option to work fully remotely. They support employees across all US time zones, though the role is restricted to US-based candidates and excludes Hawaii, Los Angeles, and San Francisco. What is the salary range for this position? The base salary in the greater Seattle area is $90,000–$110,000 annually, with variation based on geography, skills, and experience. Performance-based incentive bonuses are also available. What experience is required for this role? HMA requires 3–5+ years of recent relevant Health Plan Configuration experience, along with knowledge of self‑funded plan structures, ACA regulations, and experience with claims adjudication systems. Does HMA offer career growth opportunities for this role? Yes — the job description references Level III analysts and a Plan Configuration Manager, indicating a defined internal career ladder. HMA also offers continuing education reimbursement and a performance management program designed to support career growth. What benefits does HMA provide beyond salary? HMA offers 17 days PTO, 11 paid holidays, medical/dental/vision insurance, a 401(k) with company match, parental leave, a $600 wellness reimbursement, remote work reimbursement, continuing education support, and up to $1,000 annual charitable giving match.