Senior Configuration Quality Audit Analyst

• Bachelor's degree in Healthcare Administration, Business, Information Systems, or a related field, or an equivalent combination of education and experience
• 3+ years of progressive experience in claims configuration, claims auditing, quality assurance, benefits administration, or related healthcare operations
• Experience in self-funded health plans, third-party administration (TPA), healthcare payer operations, or managed care environments preferred

• Advanced experience working within the Javelina claims processing platform or similar core claims administration systems
• Experience interpreting Summary Plan Descriptions (SPDs), provider contracts, and benefit plan designs
• Demonstrated experience performing complex claims analysis, system testing, auditing, and root cause investigation

The professional qualities:

• Flexibility to meet changing business requirements with strong commitment to high-quality, on-time delivery
• Excellent communication skills for presenting audit findings to diverse stakeholders
• Problem-solving mindset with ability to recommend solutions that improve auto-adjudication efficiency
• Collaborative approach to working with cross-functional teams on system updates and configuration changes

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Paid Time Off—rest and recharge time is non-negotiable
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

Want the full picture?

Visit personifyhealthbenefits.com to explore our complete benefits package, wellness programs, and other employee perks.

This position offers a base salary range of $70,000-$83,000 per hour, depending on location, skills, and experience.

You're eligible for our full benefits package starting day one.

Our Commitment: Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging.

We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe: Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring.

All official communication comes from verified company email addresses and or our secure applicant tracking system.

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Report them to talent@personifyhealth.com .

View all legitimate openings at personifyhealth.com/careers .