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Plan Configuration Specialist CCH


Job Location:

Fresno, CA - USA

Monthly Salary: Not provided by the employer
Posted: 14 August 2026 (21 days ago)
Application Deadline: 11 November 2026
Vacancies: 1 Vacancy

Job Summary

Overview

Benefits and Opportunities for you!

  • Consecutively recognized as a top employer by Forbes and in 2025 by Newsweek
  • Free Continuing Education and certification
  • Tuition reimbursement educationprogramsand scholarships
  • Vacation time starts building on Day 1 and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.We know that our ability to provide the highest level of care is through taking care of our incredible teams.

Responsibilities
The Plan Configuration Specialist is responsible for performing routine benefit plan configuration and maintenance within the Community Care Health (CCH) claims administration system. This position supports testing validation and quality review activities to help ensure benefit configurations are accurate and aligned with employer plan documents regulatory requirements and internal standards.
The Specialist assists with new implementations annual renewals plan maintenance and routine system updates while developing expertise in health plan configuration claims adjudication and benefit administration.
Qualifications
Education
  • Associates Degree in Healthcare Administration Business Administration Information Systems or a related field required
  • Health insurance or claims administration coursework preferred
  • High School Diploma High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate AND an additional two (2) years of related experience may be substituted in lieu of associates degree
Experience
  • 1 year of experience in health plan claims processing benefits administration eligibility plan configuration or related health insurance operations required
  • Experience using QNXT or another healthcare claims administration platform preferred
  • Experience with employer-sponsored health plans preferred
  • Exposure to EDI transactions (/271) preferred
Licenses and Certifications
  • CPC - Certified Professional Coder preferred
Disclaimers

Pay ranges listed are an estimate and subject to change.
If any bonuses are noted they are only applicable to external hires meeting criteria.


Required Experience:

IC


About Company

Community Health System provides a world of opportunities for professional growth and personal advancement. You love what you do, now love where you do it!

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