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Senior QNXT Benefit Configuration Analyst

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Beacon Hill

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Location:
United States , Norfolk

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Contract Type:
Not provided

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Salary:

50.00 USD / Hour

Job Description:

This is a 100 % remote, contract-to-hire position. Eligibility for conversion to direct hire at the end of the contract is limited to individuals residing in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Job Responsibility:

  • Designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance
  • Partnering closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance

Requirements:

  • 7+ years of hands-on QNXT benefit configuration experience
  • Strong expertise across QNXT core modules: Benefit Configuration, Claims, Enrollment, Authorization
  • Proficiency in Microsoft SQL Server (T-SQL) for data validation, troubleshooting, and configuration analysis
  • Solid understanding of Commercial and Government plan designs (HMO, PPO, POS, ASO, Medicare, Medicaid, ACA)
  • Experience configuring and testing benefits during new implementations and annual renewal cycles
  • Ability to design and configure benefits including copays, deductibles, service codes, and accumulators (flexible on depth of multi-tier complexity)
  • Hands-on experience with data migration, mapping, conversions, and mass benefit updates
  • Proven ability to perform gap analysis between business requirements and QNXT capabilities, including recommending workarounds or custom solutions
  • Strong troubleshooting skills for benefit configuration issues, claims validation, and unit/integration testing
  • Proficiency with QCS and CMT tools for configuration management and migrations
  • Strong analytical, documentation, and communication skills

Nice to have:

  • Experience with new product implementations or market launches
  • Knowledge of end-to-end healthcare claims lifecycle and pricing logic
  • Lean Six Sigma or process improvement experience

Additional Information:

Job Posted:
March 04, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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