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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:
Employment contract

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Salary:

50.00 USD / Hour

Job Description:

The Senior QNXT Benefit Configuration Analyst is responsible for designing, configuring, validating, and maintaining complex benefit setups within the QNXT platform to ensure accurate claims adjudication and regulatory compliance. This role partners closely with Product, Compliance, IT, Network, and Claims teams to support new implementations, annual renewals, and ongoing benefit maintenance.

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:
February 14, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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