Senior Benefit Configuration Analyst, QNXT

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1890H1B No SponsorCompany SiteLinkedIn

Location

Alabama + 25 moreAll locations: Alabama, Florida, Idaho, Kansas, Louisiana, Maine, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Maryland, Minnesota, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Posted

173 days ago

Salary

$69.9K - $116.4K / year

Seniority

Senior

Bachelor Degree7 yrs expEnglishMS SQL ServerSQL

Job Description

• Analyze, design, build, and validate complex benefit configurations within the QNXT platform to support accurate claims adjudication and compliance • Work closely with Product, Compliance, IT, Network and Claims teams to ensure benefit plans are implemented accurately, timely, and in accordance with regulatory and contractual requirements • Serve as a business and technical expert in QNXT benefit build • Support new plan implementations, annual updates, and ongoing configuration maintenance • Perform data validation and troubleshooting using T-SQL and support version management, configuration migrations, and build monitoring with CMT and QCS tools

Job Requirements

  • Bachelor’s Degree (Required)
  • 7+ years of hands-on QNXT benefit configuration experience
  • Strong working knowledge of QNXT system architecture, including configuration tables, benefit logic, and claims integration
  • Proficiency in Microsoft SQL Server (T-SQL) for data validation and troubleshooting
  • Experience with CMT and QCS tools for version management, configuration migrations, and build monitoring
  • Strong understanding of regulatory requirements across Medicare, Medicaid, ACA, and Commercial plans
  • Excellent analytical, organizational, and problem-solving skills
  • Strong written and verbal communication including technical documentation
  • Excellent interpersonal skills and team oriented
  • Preferred: Familiarity with implementation methodologies for new products or market launches
  • Preferred: Knowledge of healthcare claims lifecycle, pricing, and accumulators
  • Preferred: Lean Six Sigma or process improvement background is a plus

Benefits

  • Medical, Dental, Vision plans
  • Adoption, Fertility and Surrogacy Reimbursement up to $10,000
  • Paid Time Off and Sick Leave
  • Paid Parental & Family Caregiver Leave
  • Emergency Backup Care
  • Long-Term, Short-Term Disability, and Critical Illness plans
  • Life Insurance
  • 401k/403B with Employer Match
  • Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
  • Student Debt Pay Down – $10,000
  • Reimbursement for certifications and free access to complete CEUs and professional development
  • Pet Insurance
  • Legal Resources Plan
  • Opportunity to earn an annual discretionary bonus if eligibility criteria is met
  • Additional compensation may be available (shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities)

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