Configuration Analyst
Gold Coast Health Plan · United States · US
Health Informatics
Remote
Not yet analysed
Demand72
Career growth66
Healthcare fit62
Remote potential40
Salary band
USD 100k – 150k
5-year outlook
Stable payer IT/operations career with progression toward senior configuration, product, or health plan systems roles; compensation should be evaluated against the California payer market and HealthRules experience, but no salary is stated.
Clinical license
Not required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-19
Intelligence details
Flexible work details
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Rate period
- Annual
Why this was classified this way
- contract
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying if you already have health plan claims, benefits, or HRP configuration exposure; clinicians without payer systems experience should treat it as a stretch and build relevant operations/IT evidence first.
Who should apply
Clinicians with health plan operations, claims adjudication, benefits/coverage, Medi-Cal, or EHR/IT implementation experience; nurses or pharmacists who have worked in utilization management, payer operations, or clinical systems may be strongest.
CV angle
Frame clinical work around coverage/benefit knowledge, claims or authorization workflows, regulatory compliance, stakeholder collaboration, testing/UAT, documentation, and root-cause problem-solving; explicitly show any payer, HealthRules, claims, or configuration exposure without claiming HRP experience you do not have.
Skills to highlight
- Benefits and coverage configuration
- Claims adjudication and edits
- Provider reimbursement and fee schedules
- UAT and test scenario development
- Root-cause analysis and impact analysis
- Medi-Cal/regulatory compliance
- Cross-functional collaboration
- Documentation and configuration governance
Role summary
A health plan configuration analyst builds and tests HealthRules Payor (HRP) benefit, provider contract, pricing, and claims-edit logic for Medi-Cal products, ensuring regulatory compliance and accurate adjudication.
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