Plan Configuration Specialist CCH

communitymedical· Finance & Revenue Cycle
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📍 Fresno, CA, USOTHER💰 USD 33–42/yr

About this role

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, education programs and 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
  • Associate's 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 associate’s 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 (837, 835, 270/271) 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.

Frequently Asked Questions

What is the salary for the Plan Configuration Specialist CCH role at communitymedical?
The listed salary for this Plan Configuration Specialist CCH position at communitymedical is USD 33–42/yr. This is an OTHER role.
Where is the Plan Configuration Specialist CCH position at communitymedical located?
This Plan Configuration Specialist CCH role at communitymedical is based in Fresno, CA, US. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Plan Configuration Specialist CCH role at communitymedical full-time or part-time?
This is listed as a OTHER position. It is posted as a Plan Configuration Specialist CCH role in the Finance & Revenue Cycle department at communitymedical.
Which team or department does the Plan Configuration Specialist CCH at communitymedical belong to?
This Plan Configuration Specialist CCH position is part of the Finance & Revenue Cycle department at communitymedical. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Plan Configuration Specialist CCH position at communitymedical?
Click the "Apply Now" button on this page. You will be redirected to communitymedical's official application portal hosted on icims where you can submit your application directly.
When was the Plan Configuration Specialist CCH job at communitymedical posted?
This Plan Configuration Specialist CCH position at communitymedical was posted on Aug 12, 2026. Apply as soon as possible — early applications are often reviewed first.
Plan Configuration Specialist CCH
communitymedical · 💰 USD 33–42/yr
Apply for this role ↗

You'll be redirected to communitymedical's official application page on icims.