Health Plan Configuration Analyst

Health Plan Configuration Analyst

Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application.

Location: Anderson, Indiana (or remote anywhere in the U.S.)

Our client, a well-established third-party administrator of self-funded health plans, is seeking a Health Plan Configuration Analyst to join their growing team.

Are you the kind of person who loves solving complex puzzles and making sure every detail lines up perfectly? Do you get satisfaction from building systems that quietly keep everything running behind the scenes? If so, this could be the perfect Health Plan Configuration Analyst role for you. Keep scrolling to see what this company has to offer.

The Perks!

• Compensation: $22 - $26/hourly, based on experience
• Health, dental, and vision insurance
• 401(k) with company match
• HSA option
• Paid Time Off
• Paid Holidays
• Wellness program

A Day in the Life of the Health Plan Configuration Analyst

In this role, you'll build and refine plan structures within the WLT adjudication system, set up new groups, and establish vendor connections that keep everything running smoothly. You'll maintain system tables, load fee schedules, calculate DRG pricing, and troubleshoot claim issues as they arise. Working closely with internal teams, you'll help translate client needs into accurate, compliant health plans that make a real difference for the people who depend on them.

Responsibilities include:

• Creating and refining plan structures in the WLT adjudication system
• Setting up new groups and establishing vendor connections
• Updating existing plans and maintaining system tables
• Loading fee schedules and calculating DRG pricing
• Resolving claim processing issues
• Auditing plan designs and reporting system errors
• Collaborating with internal departments to interpret client needs and ensure compliance

Requirements and Qualifications:

• Prior experience with medical insurance or with a third-party administrator
• Prior experience with plan building and a health plan claims system
• Experience handling multiple customer accounts, plans, or client-specific configurations at once
• Ability to troubleshoot claim processing issues
• Experience reading and interpreting a full health plan document
• Ability to collaborate across multiple internal departments
• Strong organizational skills and attention to detail preferred

About the Hiring Company:

Established in 1996, our client is a full-service third-party administrator (TPA) for self-funded group health insurance plans. They're known for combining innovative programs, cutting-edge technology, and trusted partnerships to help control healthcare costs while ensuring access to top-tier benefits, all backed by a professional, experienced team that leads with speed and care.

Come Join Our Plan Building Team! xhyhwjd

Start by filling out this 3-minute, mobile-friendly application here. We look forward to hearing from you!